Inflammatory back pain
Authors:
M. Gregová
Authors‘ workplace:
Klinika revmatologie 1. LF UK v Praze
; Přednosta: prof. MUDr. Karel Pavelka, DrSc.
; Revmatologický ústav Praha
Published in:
Prakt. Lék. 2020; 100(3): 143-148
Category:
Of different specialties
Overview
Back pain is a very common problem in general population. Most common is simple low back pain, that is self-limited and does not require further investigation. Approximately 5% of cases may have inflammatory back pain (IBP), that is hallmark of axial spondylarthritis (axSpA). axSpA is a chronic progressive inflammatory disease. The disease typically develops in young adulthood, leads to permanent spine changes with hypomobility and impairs quality of life if misdiagnosed. The key factor for first line medical doctor is to identify individuals with suspicion on axSpA and refer them for further specialised rheumatology examination. IBP is main symptom that helps to reveal patients with axSpA, helpful may also be HLA-B27 positivity. Several reference strategies have been established to help early diagnosis of axSpA. Only early diagnosis and adequate treatment leads to inhibition of the inflammatory process and prevents permanent spine changes.
Keywords:
ankylosing spondylitis – axial spondyloarthritis – inflammatory back pain – non-radiographic axial spondyloarthritis – HLA-B27 antigen
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General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2020 Issue 3
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