II. Clinical Features: Common to every Spondyloarthropathy

  1. Inflammatory back pain
  2. Dactylitis
    1. Inflammation of entire digit
  3. Enthesitis
    1. Inflammation of tendon and ligament bony attachments
    2. Common areas of involvement
      1. Achilles tendon insertion (Calcaneus)
      2. Platar fascia insertion (Calcaneus)
      3. Patellar tendon insertion (tibial tubercle)
      4. Patella margin (superior and inferior)
      5. Metatarsal heads
      6. Spinal ligament insertion (Vertebral body)

IV. Differential Diagnosis

V. Labs

  1. Rheumatoid Factor (RF) negative
  2. Erythrocyte Sedimentation Rate (ESR) elevated
  3. C-Reactive Protein (CRP) elevated
  4. Complete Blood Count (CBC)
  5. Anemia of Chronic Disease
  6. HLA-B27 positive
  7. Synovial Fluid exam: WBCs > 2,000/ml

VI. References

  1. Liu in Noble (2001) Primary Care, p. 1280-93
  2. Kataria (2004) Am Fam Physician 69:2853-60 [PubMed]

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Related Studies

Ontology: Spondylarthropathies (C0949691)

Definition (MSH) Heterogeneous group of arthritic diseases sharing clinical and radiologic features. They are associated with the HLA-B27 ANTIGEN and some with a triggering infection. Most involve the axial joints in the SPINE, particularly the SACROILIAC JOINT, but can also involve asymmetric peripheral joints. Subsets include ANKYLOSING SPONDYLITIS; REACTIVE ARTHRITIS; PSORIATIC ARTHRITIS; and others.
Definition (CHV) degeneration of the spinal bone where spinal columns are fused and immobilized
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)
MSH D025242
SnomedCT 357182002, 359173000, 8847002, 372109003
Italian Spondiloartropatia, Spondiloartropatie, Spondiloartrosi, Spondilartropatia, Spondilartropatie
Dutch spondylartrose, spondylartropathie, spondylartropathieën, Spondylartropathie
French Spondylarthrose, Spondyloarthropathies, Spondyloarthropathie, Spondylarthropathies
German Spondyloarthrose, Spondyloarthropathie, Spondylarthropathien
Portuguese Espondilartrose, Espondiloartropatia, Espondiloartropatias
Spanish Espondiloartrosis, espondiloartropatía, Espondiloartropatía, trastorno de articulación de la columna vertebral (trastorno), trastorno de articulación de la columna vertebral, Espondiloartropatías
Japanese 脊椎関節障害, セキツイカンセツショウガイ, セキツイカンセツショウ, 脊椎関節症
Swedish Spondylartropatier
Czech spondylartropatie, Spondyloartropatie, Spondylartropatie, Spondylartróza
Finnish Spondylartropatiat
English spinal joint disease, spinal joint disease (diagnosis), spondyloarthropathy (diagnosis), Spondylarthropathies [Disease/Finding], spondyloarthropathy, spondylarthropathy, spondyloarthropathies, spondylarthropathies, Spondyloarthropathies, Spondylarthropathy, Spondyloarthropathy, Bechterew Syndrome, Spondylitis, Marie-Strumpell, Marie-Strumpell Spondylitis, Marie Strumpell Spondylitis, Syndrome, Bechterew, Spondyloarthropathy (disorder), Spondyloarthrosis, Spondylarthrosis, Spondarthropathy, Disorder of joint of spine (disorder), Disorder of joint of spine, spondylarthrosis, spondyloarthrosis, Spondylarthrosis, NOS, Spondylarthropathies, Spondylarthrosis NOS
Polish Choroby stawów kręgosłupa
Hungarian Spondylarthrosis, Spondyloarthropathiák, Spondylarthropathia
Norwegian Inflammatoriske ryggsykdommer, Inflammatoriske rygglidelser, Spondylartropatier