Reumatizam, Vol. 58 No. 2, 2011.
Review article
The early diagnosis of spondyloarthritis
Srđan Novak
; Department for Rheumatology and Clinical Immunology, Clinic for Internal Medicine, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Abstract
The most frequent early symptoms of spondyloarthritides are inflammatory back pain and asymetric peripheral arthritis. Currently the mean delay between the onset of first symptoms and diagnosing ankylosing spondylitis which is the frequent type of spondyloarthritis is over 5 years. The availability of effective therapies makes an early diagnosis mandatory. The clinical symptoms of inflammatory back pain, active inflamation on MR, and positivity for HLA-B27 are the most important parameters for an early diagnosis of spondyloarthritis, especially in combination. Moreover, the combination of clinical and laboratory parameters is necessary for the early diagnosis.
Keywords
ankylosing spondyilitis; early diagnosis; inflammatory back pain; spondyloarthritis
Hrčak ID:
124404
URI
Publication date:
20.10.2011.
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