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Inflammatory back pain – when should be a spondylarthritis considered?


Authors: M. Tošovský;  P. Bradna;  T. Soukup
Authors‘ workplace: Přednosta: prof. MUDr. Jaroslav Malý, CSc. ;  Fakultní nemocnice Hradec Králové ;  II. interní klinika ;  Lékařská fakulta UK v Hradci Králové
Published in: Prakt. Lék. 2011; 91(6): 355-358
Category: Diagnostis

Overview

Back pain is a frequent reason for visiting a primary care physician. Challenge of a primary care physician is to identify the small group of patients with the axial spondylarthritis (mostly known as ankylosing spondylitis) among the great numbers of patients with chronic back pain. Recognition of the inflammatory back pain seems to be a useful clue to identify an axial spondylarthritis. The following article shows the features of an inflammatory back pain. HLA-B27 positivity is the other suitable parameter for referral a patient with back pain to a rheumatologist. Age and duration of a back pain are the additional essential conditions.

Key words:
ankylosing spondylitis, spondylarthritis, inflammatory back pain, HLA-B27


Sources

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3. van der Heijde, D.M.F., Wanders, A., Mielants, H. et al. Prediction of progression of radiographic damage over 4 years in patiens with ankylosing spondylitis (abstract). Ann. Rheum. Dis. 2004, 63(suppl I), 98.

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8. Sieper, J., van der Heijde D.M.F., 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, p. 784-788.

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