spondyloarthritis Flashcards
is there a RF in seronegative spondylorarthris
no
common features of spondyloarthritis
inflammation of spine synovitis enthesopathy inflammatory eye no RF tendency to be hereditary
does spondyloarthritis effect legs or arms more
legs
spondyloarthritis associated with __ genetic marker
HLA B27
Psoriatic Arthritis
psoariasis multigenetic inheritence can begin in childhood dactylitis enthesitis
dactylitis
sausage like fingers and toes due to swelling
enthesitis
tendon attaches to bone (heals / back)
psoriatic arthritis categories
spinal
or peripheral
enteropathic spondylitis aka
intestinal arthropathy
enteropathic spondylitis associated with
ulcerative colitis / crohns disease
arthritis
may effect spines / SI joint or arm/legs
reactive arthritis associated with
generally symmetrical
hot , swollen joints
lower limbs
stiffening in spine
reactive arthritis triggered by
infection bowel / Genito URINARY tract
ankylosing spondylitis associated with
stiffness / fusing of spine by inflammation
young adults
delay in diagnosis
t/f ankylosing spondylitis rare beyond 45
t
prevalence of ankylosing spondylitis male female
1:1
features of ankylosing spondylitis
sacroilitpis
enthesitis
synovitis
eyes, bowel, lung or heart may be involved
hallmark sign of ankylosing spondylitis
sacroilitis
sacroilitis
deep dull diffuse pain in buttock
bilateral
enthesitis at risk of
risk of fractures
osteoporosis
modified New York criteria for AS
low back pain for more than 3 months (better w exercise, not rest)
limited lumbar spine motion
limited chest expansion
clinical features spondyloarthrits
pain after rest stiff in AM decreased spine ROM deformity / instability dec strength altered breathing mechanics
inflammatory back pain vs mechanical - w exercise?
inflam - improves with exercise
mech - worsens
inflammatory back pain vs mechanical - pain
inflam - EARLY AM
mech - later in day
inflammatory back pain vs mechanical - AM pain
inflam - prolonged
mech - less than 40 mins
