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Spondyloarthropathy
- Clinical Features: Common to every spondyloarthropathy
- Inflammatory back pain
- Dactylitis
- Inflammation of entire digit
- Enthesitis
- Inflammation of tendon and ligament bony attachments
- Common areas of involvement
- Achilles tendon insertion (calcaneus)
- Platar fascia insertion (calcaneus)
- Patellar tendon insertion (tibial tubercle)
- Patella margin (superior and inferior)
- Metatarsal heads
- Spinal ligament insertion (vertebral body)
- Causes
- Ankylosing Spondylitis
- Reactive Arthritis (e.g. Reiter's Syndrome)
- Psoriatic Arthritis
- Inflammatory Bowel Disease with Spondyloarthropathy
- Differential Diagnosis
- Rheumatoid Arthritis
- Labs
- Rheumatoid Factor (RF) negative
- Erythrocyte Sedimentation Rate (ESR) elevated
- C-Reactive Protein (CRP) elevated
- Complete Blood Count (CBC)
- Anemia of Chronic Disease
- HLA-B27 positive
- Synovial Fluid exam: WBCs > 2,000/ml
- References
- Liu in Noble (2001) Primary Care, p. 1280-93
- Kataria (2004) Am Fam Physician 69:2853
Spondylarthropathies (C0949691)
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| Definition (MSH) | Heterogeneous group of arthritic diseases sharing clinical and radiologic features and presence of the HLA-B27 ANTIGEN. |
| Definition (CSP) | group of related inflammatory, arthritic diseases of the joints in the spine sharing clinical and radiologic features and are associated with the MHC class I molecule HLA-B27 antigen. |
| Concepts | Disease or Syndrome (T047)
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| ICD9 | 721.90 |
| English | BECHTEREW SYNDROME, Disorder of joint of spine, SPDA1, Spondarthropathy, Spondylarthropathies, Spondylarthropathy, Spondylarthrosis, spondyloarthropathy |
| Spanish | espondiloartropatÃa, espondiloartropatia, trastorno de articulación de la columna vertebral, trastorno de articulacion de la columna vertebral |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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