Ankylosing Spondylitis Flashcards
1
Q
What is ankylosing spondylitis?
A
Most common axial skeleton inflammatory disorder
2
Q
What factor is associated with ankylosing spondylitis?
A
HLA-B27
3
Q
What is the onset of ankylosing spondylitis?
A
Young adulthood
Sometimes in childhood
- Juvenile chronic polyarthritis
4
Q
What are the s/s of ankylosing spondylitis?
A
Persistent LBP >3 months- in SI joint Early morning stiffness Relieved by exercise Pain that wakes pt from sleep Fatigue Asymmetrical oligoarthritis Achilles tendinitis &/or heel pain Extra-articular features
5
Q
What is observed in PE in ankylosing spondylitis?
A
TTP Spinal decreased ROM Stooped posture (advanced) Schober test - Measures mobility of the lumbar spine Chest expansion - Thoracic spine Peripheral joints
6
Q
What are the labs used in ankylosing spondylitis?
A
RF - Will be negative ANA - Will be negative Sed rate - Could be elevated CRP - Could be elevated HLA-B27
7
Q
What is imaging used in ankylosing spondylitis?
A
Plain films
- Lumbar spine and SI joint
- “Bamboo spine”
MRI
- Will show inflammatory changes before bony changes occur on plain films
8
Q
What are the treatment options of ankylosing spondylitis?
A
Patient Education
Exercise
Medical Therapy
9
Q
What are the medications used in treatment of ankylosing spondylitis?
A
NSAIDs Corticosteroids Sulfasalazine Methotrexate Other disease-modifying agents Antibiotic therapy Anti-TNF therapy
