spondyloarthropathies Flashcards
clinical problems associated with spondyloarthritis
back pain
joint pain/swelling
red/painful eye
rash
what is spondyloarthritis
A group of related but distinct conditions with similar clinical features including chronic back pain due to spinal inflammation, peripheral arthritis, enthesitis and dactylitis
conditions involved
Ankylosing spondylitis/Axial Spondyloarthropathy
Psoriatic Arthritis
Enteropathic Arthritis
Reactive Arthritis
hLA-B27
associated with ankylosing spondylitis
mechanical back pain features
Worsened by activity
Improved with rest
Worse at end of day
Onset at any age
Variable speed of onset, may be acute
inflammatory back pain features
Improved by activity but not with rest
Associated with prolonged (>30min) morning stiffness
Responds well to NSAIDs
Insidious onset
Wakes patient in second half of the night
Age of onset <40 (some say <35)
enthesitis
inflammation where the tendons/ligaments insert into bone
dactilytis
inflammation of the tendons and entheses throughout the digit; entire digit swells
in fingers/ toes
state shared features of spondyloarthropathies
enthesitis
dactylitis
joint inflammation
shared extra articular features
occular inflammation; anterior uveitis, conjunctivitis
mucocutaneous lesions
cardiac; aortic incompetence, heart blcok
ankylosing spondyloarthritis
Chronic inflammatory disease of the axial skeleton that leads to partial or even complete fusion and rigidity of the spine
which gender is ankylosing spondy more common in
men
what happens to a spine with ankylosing spondylitis
syndesmophyte; fusion of the vertebrae
diagnosis of ankylosing spondylitis
history and exam
bloods; crop and hla-b27
xrays and mri
what is seen on xray of ankyosing
Syndesmophytes
Marginal Ossification
Bamboo spine
Shiny corners
Sacroiliac joint erosions
Sacroiliac joint fusion
