Which gene may SA be associated with in 90% cases?
HLA-B27
AS clinical features? on x-ray?
inflammatory back pain
limitation of movement in lumbar spine
limitation of chest expansion
bilateral sacroiliitis on x-ray
when is AS onset?
second to third decade
what are the other features of AS?
peripheral joints
achiles tendonitis
uveitis
aortic incompetence
what examination tests for AS? (4)
Cervical rotation
Occiput to wall
Lateral Spinal Flexion
Modified Schober
COLM
AS management?
physiotherapy NSAIDs DMARDs Anti-TNF Anti-IL17