Ankylosing spondylitis



Ankylosing spondylitis





A chronic, usually progressive inflammatory disease, ankylosing spondylitis primarily affects the sacroiliac, apophyseal, and costovertebral joints and adjacent soft tissue. Generally, the disease begins in the sacroiliac joints and gradually progresses to the lumbar, thoracic, and cervical regions of the spine. Deterioration of bone and cartilage can lead to fibrous tissue formation and eventual fusion of the spine or peripheral joints. Prevalence of ankylosing spondylitis among whites is estimated at 0.5% to 1.0%, affecting five times as many males as females. (See Ankylosing spondylitis in women.)


Causes

Recent evidence strongly suggests a familial tendency in ankylosing spondylitis. The presence of histocompatibility antigen HLA-B27 (positive in over 90% of patients with this disease) and circulating immune complexes suggests immunologic activity. A possible link to underlying infection is being investigated.



Signs and symptoms

The first indication is intermittent low back pain that’s usually most severe in the morning or after a period of inactivity. Other signs and symptoms depend on the disease stage and include:

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Jun 16, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Ankylosing spondylitis

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