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Spondyloarthropathies (Seronegative RA), Sports Medicine

Brent H. Messick, MD, MS, FAAFP, CAQSM and Kevin E. Burroughs, MD, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Spondyloarthropathy (SpA) is a term applied to the clinical, radiologic, and immunogenetic features shared by a group of diseases that include:

    • Ankylosing spondylitis (AS).

    • Reactive ar...

DIAGNOSIS

  • There are several criteria for research purposes, including European Spondyloarthropathy Study Group (ESSG) and Amor. Recently, the Assessment of Spondyloarthritis International Society (ASA...

TREATMENT

  • The goal of treatment is to reduce pain and stiffness and maintain posture and function.

  • Eye, skin, genitourinary, and bowel involvement should be treated accordingly.

  • Patients with spondyliti...

REFERENCES

1
Denison HJ, Curtis EM, Clynes MA, et al. The incidence of sexually acquired reactive arthritis: a systematic literature review. Clin Rheumatol.  2016;35(11):2639–2648.
2
Townes JM, Deod...

ADDITIONAL READING

  • Akgul O, Ozgocmen S. Classification criteria for spondyloarthropathies. World J Orthop.  2018;2(12):107–115.

  • Buckton KE, Jacobs PA, Court Brown WM, et al. A study of the chromos...

CLINICAL PEARLS

  • In most patients, the initial episode of ReA is short-lived and settles within weeks to months.

  • Some may go on to experience recurrent attacks, and these occur more frequently in HLA-B2...

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