Ankylosing spondylitis Flashcards
1
Q
Who does ankylosing spondylitis usually present in?
A
Young men - teens to mid thirties
2
Q
How does ankylosing spondylitis present?
A
Bilateral buttock pain, chest wall and thoracic pain
3
Q
What does examination show in ankylosing spondylitis?
A
Often normal
Later - loss of lumbar lordosis, exaggerated thoracic kyphosis, reduced chest expansion
4
Q
What investigations are done in ankylosing spondylitis?
A
CRP can be raised, MRI spine and SI joints
5
Q
What us the management for ankylosing spondylitis?
A
NSAIDs and physio, anti-TNFs, IL-17 inhibitors
Sulfasalazine when peripheral joint involvement
6
Q
What is ankylosing spondylitis?
A
Part of the spondyloarthropathies, chronic progressive inflammatory arthropathy, associated with presence of HLA-B27 gene
