By Joachim Sieper
A thorough advisor for readers to quick achieve an replace on regular analysis and remedy tools for axial spondyloarthritis. nearly eighty illustrations and photographs are used during the textual content to exemplify the illness and diagnostic and remedy algorithms. simply obtainable textual content and tables overview the present therapy suggestions and rising cures in accordance with fresh medical trials.
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Extra info for Clinician’s Manual on Axial Spondyloarthritis
A. Yes (10–30%) B. No Chronic back pain Yes (50–70%) C. No Yes (15–25%) D. 6 Hypothetical development of radiographic sacroiliitis in patients with spondyloarthritis. Reproduced with permission from © John Wiley and Sons 2013, Rudwaleit et al . All Rights Reserved. D i ag n o s i s o f a x i a l s p o n dy loa r t h r i t i s • 35 imaging (MRI) technology. 7 and discussed in more detail in Chapter 5 [7,8]. Clinical experience but also limited data suggest that a good proportion of patients with inflammation of the SI joints on MRI, but normal or suspicious radiographs, will develop radiographic sacroiliitis later on, which therefore evolves to AS .
19 Braun A, Gnann H, Saracbasi E, et al. Optimizing the identification of patients with axial spondyloarthritis in primary care--the case for a two-step strategy combining the most relevant clinical items with HLA B27. Rheumatology (Oxford). 2013;52:1418-1424. 20 Sieper J, van der Heijde D. Review: Nonradiographic axial spondyloarthritis: new definition of an old disease? Arthritis Rheum. 2013;65:543-551. 21 Rudwaleit M, Haibel H, Baraliakos X, et al. The early disease stage in axial spondylarthritis: results from the German Spondyloarthritis Inception Cohort.
2007;66:910-915. C l i n i c a l ma n i fe s tat i o n s o f a x i a l s p o n dy loa r t h r i t i s • 29 7 Landewé R, Dougados M, Mielants H, van der Tempel H, van der Heijde D. Physical function in ankylosing spondylitis is independently determined by both disease activity and radiographic damage of the spine. Ann Rheum Dis. 2009;68:863-867. 8 Vander Cruyssen B, Ribbens C, Boonen A, et al. The epidemiology of ankylosing spondylitis and the commencement of anti-TNF therapy in daily rheumatology practice.