Spondyloarthropathies

Question 1

What are considered in spondyloarthropathies?

Answer 1

Ankylosing spondylitis
Reactive arthritis
Psoriatic arthritis
Enteropathic arthritis

Question 2

What are the clinical manifestations of spondyloarthropathies?

Answer 2

• Spine/SI joint pain
• New bone formation= joint ankyloses
• Peripheral arthritis- asymmetrical and lower extremity
• Inflammation at tendon insertion= Enthesitis
• Ocular involvement= acute anterior uveitis
• HLA-B27

Question 3

What is the diagnostic criteria of spondyloarthropathies?

Answer 3

Inflammatory spinal pain OR asymmetrical synovitis

PLUS

• FH
• Psoriasis
• Inflammatory bowel disease
• Urethritis, cervicitis or acute diarrhea within 1 month arthritis onset
• Alternating buttock pain
• Enthesopathy
• Sacroiliitis

Question 4

What are the treatment options in spondyloarthropathies?

Answer 4

Patient Education
Exercise
Medical Therapy

Question 5

What are the medications used in treatment of spondyloarthropathies?

Answer 5

NSAIDs
Corticosteroids
Sulfasalazine
Methotrexate
Other disease-modifying agents
Antibiotic therapy
Anti-tumor necrosis factor therapy