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
1. Rudwaleit M, Braun J, Sieper J; Assessment of SpondyloArthritis International Society. [ASAS classification criteria for axial spondyloarthritis]. Zeitschrift für Rheumatologie 2009; 68: 591−593.
2. Baraliakos X, Braun J. Non-radiographic axial spondyloarthritis and ankylosing spondylitis: what are the similarities and differences? RMD Open 2015; 1 (Suppl. 1): e000053.
3. Rudwaleit M, Haibel H, Baraliakos X et al. The early disease stage in axial spondylarthritis: results from the German Spondyloarthritis Inception Cohort. Arthritis Rheum 2009; 60: 717−727.
4. Sampaio-Barros PD, Bortoluzzo AB, Conde RA et al. Undifferentiated spondyloarthritis: a longterm followup. J Rheumatol 2010; 37: 1195−1199.
5. Aydin SZ, Maksymowych WP, Bennett AN et al. Validation of the ASAS criteria and definition of a positive MR of the sacroiliac joint in an inception cohort of axial spondyloarthritis followed up for 8 years. Ann Rheum Dis 2012; 71: 56−60.
6. Mandl P, Navarro-Compán V, Terslev L et al. EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann Rheum Dis 2015; 74: 1327−1339.
7. Rudwaleit M, Jurik AG, Hermann KG et al. Defining active sacroiliitis on magnetic resonance imaging (MR) for classification of axial spondyloarthritis: a consensual approach by the ASAS/OMERACT MR group. Ann Rheum Dis 2009; 68: 1520−1527.
8. Jans L, Van Praet L, Elewaut D et al. MR of the SI joints commonly shows non-inflammatory disease in patients clinically suspected of sacroiliitis. Eur J Radiol 2014; 83: 179−184.
9. Boonen A, Brinkhuizen T, Landewe R et al. Impact of ankylosing spondylitis on sick leave, presenteeism and unpaid productivity, and estimation of the societal cost. Ann Rheum Dis 2010; 69: 1123−1128.
10. Underwood MR, Dawes P. Inflammatory back pain in primary care. Br J Rheumatol 1995; 34: 1074−1077.
11. Sieper J, van der Heijde D, Landewe R et al. New criteria for inflammatory back pain in patients with chronic back pain: a real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann Rheum Dis 2009; 68: 784−788.
12. Brandt HC, Spiller I, Song IH et al. Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis. Ann Rheum Dis 2007; 66: 1479−1484.
13. Poddubnyy D, van Tubergen A, Landewé R et al. Development of an ASAS-endorsed recommendation for the early referral of patients with a suspicion of axial spondyloarthritis. Ann Rheum Dis 2015; 74: 1483−1487.
14. Rudwaleit M, van der Heijde D, Landewe R et al. The Assessment of SpondyloArthritis International Society classification criteria for peripheral spondyloarthritis and for spondyloarthritis in general. Annals of the rheumatic diseases 2011; 70: 25−31.
15. Gladman DD. Editorial: What is peripheral spondyloarthritis? Arthritis Rheumatol (Hoboken, N.J.) 2015; 67: 865−868.
16. Garg N, van den Bosch F, Deodhar A. The concept of spondyloarthritis: where are we now? Best Pract Res Clin Rheumatol 2014; 28: 663−672.
17. Sepriano A, Landewe R, van der Heijde D et al. Predictive validity of the ASAS classification criteria for axial and peripheral spondyloarthritis after follow-up in the ASAS cohort: a final analysis. Ann Rheum Dis 2016; 75: 1034−1042.
18. Gladman DD. Psoriatic arthritis. Rheum Dis Clin North Am 1998; 24: 829−844, x.
19. Prey S, Paul C, Bronsard V et al. Assessment of risk of psoriatic arthritis in patients with plaque psoriasis: a systematic review of the literature. J Eur Acad Dermatol Venereol 2010; 24 (Suppl. 2): 31−35.
20. Busse K, Liao W. Which psoriasis patients develop psoriatic arthritis? Psoriasis Forum 2010; 16: 17−25.
21. Wilson FC, Icen M, Crowson CS et al. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum 2009; 61: 233−239.
22. Gladman DD, Schentag CT, Tom BD et al. Development and initial validation of a screening questionnaire for psoriatic arthritis: the Toronto Psoriatic Arthritis Screen (ToPAS). Ann Rheum Dis 2009; 68: 497−501.
23. Husni ME, Meyer KH, Cohen DS et al. The PASE questionnaire: pilot-testing a psoriatic arthritis screening and evaluation tool. J Am Acad Dermatol 2007; 57: 581−587.
24. Tinazzi I, Adami S, Zanolin EM et al. The early psoriatic arthritis screening questionnaire: a simple and fast method for the identification of arthritis in patients with psoriasis. Rheumatology (Oxford, England) 2012; 51: 2058−2063.
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
Journal of Czech Physicians
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
Najčítanejšie v tomto čísle
- Differential diagnosis of monoarthritis
- Hand osteoarthritis
- Raynaud's phenomenon
- Immune mediated necrotizing myopathy associated with statin treatment