Ankylosis Spondylitis Flashcards
1
Q
What is Ankylosis Spondylitis?
A
Ankylosing spondylitis is a seronegative inflammatory arthritis, primarily involving the axial skeleton
2
Q
AS clicnical presentations
A
- lower back pain – early morning stiffness (gets better with activity)
- Tenderness of the sacroiliac joints and limited range of spinal motion on examination
3
Q
4 As
AS Extra-articular eye involvements
A
Anterior uveitis
Aortic insuff.
Apical pulmonary fibrosis
IgA Nephropathy
4
Q
What is the Scheber’s test?
A
5cm below and 10cm above PSIS
Total >20cm is -VE
Total <20cm is+VE
5
Q
X-ray features
A
- Bamboo spine: bone fusion
- squaring the the vertebrae
- Syndesmophytes
6
Q
AS Risk factors
A
- 20–30 years
- Male
- FMHx
- HBLA52 gene
7
Q
pharmacological + consrvative
AS 1st line Mx
A
- NSAIDs w/ PPI
- Physiotherapy/Exercise
7
Q
AS gold stanadard imaging
A
MRI
8
Q
Suspected AS referral criteria
A
refer to Rheum for patient
- experiencing LBP >3/12
- Age <45
