ankylosing spondylitis Flashcards
1
Q
what
A
HLA-B27 spondyloarthropathy
2
Q
features
A
young pain
lower back pain + stiffness of insidious onset
stiffness worse morning
3
Q
OE
A
reduced lateral flexion
reduced forward flexion - Schober’s test
reduced chest expansion
4
Q
Schober’s test
A
line drawn 10cm above and 5cm below back dimples
distance between lines should inc by >5cm
5
Q
other features
A
apical fibrosis anterior uveitis aortic regurg achilles tendonitis AV node block amyloidosis cauda equina peripheral arthritis
6
Q
Ix of choice
A
SI joint X-ray
7
Q
if x-ray negative but suspicion remains high
A
MRI
8
Q
SI joint x-ray findings
A
sacrolilitis
squaring vertebral bodes
syndemosphytes
bamboo spine
9
Q
CXR findings
A
apical fibrosis
10
Q
MX
A
1/ physio and NSAIDs
anti-TNF if persistently high disease activity despite conventional treatments
11
Q
Anti-TNF ex/
A
etanercept
adalimunab
