Early diagnosis of spondyloarthritis
Authors:
MUDr. Kristýna Grobelná; MUDr. Heřman Mann
Authors place of work:
Revmatologický ústav: Na Slupi 4, Praha 2, 128
50
Published in the journal:
Čas. Lék. čes. 2016; 155: 294-298
Category:
Review Article
Summary
Spondyloarthritides are chronic inflammatory rheumatic diseases which affect the axial skeleton and/or peripheral joints and have a strong association with HLA-B27 antigen. According to the prevailing symptoms spondyloarthritis can be further divided into predominantly axial or peripheral form.
This disease can gradually destroy affected joints with increasing delay between the onset of first symptoms and treatment commencement, therefore early diagnosis and treatment are necessary. Thus, we need to create simple reference strategies to enable primary care physicians effectively identify and refer these patients to a rheumatologist. Based on published data the most appropriate strategy for axial spondyloarthritis seems to be The Berlin algorithm. We do not have any clear recommendations for early referral for peripheral spondyloarthritis to date. However, patients in an increased risk of psoriatic arthritis can be detected by using the valid questionnaire for patients with psoriasis.
Keywords:
spondyloarthritis, ankylosing spondylitis, psoriatic arthritis
Zdroje
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Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
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