Rheumatology » Articular Rheumatism

Spondyloarthropathy

Spondyloarthropathy refers to a family of inflammatory arthritic conditions which includes Ankylosing Spondylitis, reactive arthritis (Reiter Syndrome), enteropathic arthritis associated with inflammatory bowel disease, psoriatic arthritis isolated acute anterior uveitis and undifferentiated SpA. Ankylosing spondylitis mainly involves the spine and can result in stiffening and loss of movement in the neck, rib cage and lower back .In reactive arthritis, infection in the bowel or genitourinary tract sets up a reaction in the joints. Ulcerative colitis and Crohn's disease are inflammatory conditions of the bowel which are associated with an arthritis affecting the spine, sacroiliac joints, and peripheral joints. Because these diseases have a tendency to stiffen the spine, a daily exercise programme is essential to maintain range of movement. NSAIDs provide pain relief and reduce inflammation. These may be used intermittently and as required. DMARDs may be required for management.

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