Inflammatory back pain – when should be a spondylarthritis considered?

Česká verzia

Authors: M. Tošovský; P. Bradna; T. Soukup
Authors place of work: Přednosta: prof. MUDr. Jaroslav Malý, CSc. ; Fakultní nemocnice Hradec Králové ; II. interní klinika ; Lékařská fakulta UK v Hradci Králové
Published in the journal: Prakt. Lék. 2011; 91(6): 355-358
Category: Diagnostis

Summary

Back pain is a frequent reason for visiting a primary care physician. Challenge of a primary care physician is to identify the small group of patients with the axial spondylarthritis (mostly known as ankylosing spondylitis) among the great numbers of patients with chronic back pain. Recognition of the inflammatory back pain seems to be a useful clue to identify an axial spondylarthritis. The following article shows the features of an inflammatory back pain. HLA-B27 positivity is the other suitable parameter for referral a patient with back pain to a rheumatologist. Age and duration of a back pain are the additional essential conditions.

Key words:
ankylosing spondylitis, spondylarthritis, inflammatory back pain, HLA-B27

Zdroje

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