Ankylosing spondylitis differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
| Line 14: | Line 14: | ||
*[[Rheumatoid arthritis]] | *[[Rheumatoid arthritis]] | ||
*[[Bone cancer]] | *[[Bone cancer]] | ||
**Ankylosing spondylitis should also be differentiated from other diseases presenting as arthralgia of the axial skeleton. The differentials include: | |||
<small> | |||
{| class="wikitable" | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Arthritis Type | |||
! colspan="7" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Clinical Features | |||
! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Body Distribution | |||
! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Key Signs | |||
! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Laboratory Abnormalities | |||
|- | |||
| | |||
|'''History of Psoriasis''' | |||
|'''Symmetric [[joint]] involvement''' | |||
|'''Asymmetric [[joint]] involvement''' | |||
|[[Enthesopathy|'''Enthesopathy''']] | |||
|'''[[Dactylitis]]''' | |||
|'''[[Nail (anatomy)|Nail]] [[Dystrophy]]''' | |||
|'''[[Human Immunodeficiency Virus (HIV)|Human immunodeficiency virus]] association''' | |||
|'''[[Upper extremity]]-hands''' | |||
|'''[[Lower extremity]]''' | |||
|'''[[Sacroiliac joint|Sacroiliac joints]]''' | |||
|'''[[Spine]]''' | |||
|'''[[Osteopenia]]''' | |||
|'''[[Joint]] Space''' | |||
|'''[[Ankylosis]]''' | |||
|'''[[Periostitis]]''' | |||
|'''[[Soft tissue]] swelling''' | |||
|'''[[ESR]]''' | |||
|'''[[Rheumatoid factor]] ([[Rheumatoid factor|RF]])''' | |||
|'''[[HLA-B27]]''' | |||
|- | |||
|'''[[Psoriatic arthritis]]''' | |||
| + | |||
| + | |||
| ++ | |||
| + | |||
| + | |||
| + | |||
| + | |||
| +++ ([[Distal interphalangeal joints|DIP]]/[[Proximal interphalangeal joints|PIP]]) | |||
| +++ | |||
| ++ (Unilateral) | |||
| ++ | |||
| - | |||
| ++ (Widening) | |||
| ++ | |||
| +++ (Fluffy) | |||
| ++ | |||
| + | |||
| - | |||
|30-75% | |||
|- | |||
|'''[[Rheumatoid arthritis]]''' | |||
| - | |||
| ++ | |||
| + | |||
| - | |||
| - | |||
| - | |||
| - | |||
| +++ | |||
([[MCP joints|MCP]]/[[wrist]]) | |||
| +++ | |||
| + (Unilateral) | |||
| ++([[Cervical spine|Cervical]]) | |||
| +++ | |||
| +++ (Narrowing) | |||
| + | |||
| + (Linear) | |||
| +++ | |||
| +++ | |||
| +++ | |||
|6-8% | |||
|- | |||
|'''[[Ankylosing spondylitis]]''' | |||
| - | |||
| +++ | |||
| - | |||
| + | |||
| - | |||
| - | |||
| - | |||
| + | |||
| + | |||
| +++ (Bilateral) | |||
| +++ | |||
| +++ | |||
| ++ (Narrowing) | |||
| +++ | |||
| +++ (Fluffy) | |||
| + | |||
| +++ | |||
| - | |||
|90% | |||
|- | |||
|'''[[Reactive arthritis]] ([[Reiter's syndrome]])''' | |||
| - | |||
| +++ | |||
| - | |||
| + | |||
| + | |||
| - | |||
| - | |||
| ++ | |||
| +++ | |||
| ++ (Unilateral) | |||
| + | |||
| + | |||
| + (Narrowing) | |||
| - | |||
| +++ (Fluffy) | |||
| ++ | |||
| ++ | |||
| - | |||
|75% | |||
|} | |||
Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 02:29, 14 August 2017
|
Ankylosing spondylitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Ankylosing spondylitis differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Ankylosing spondylitis differential diagnosis |
|
Risk calculators and risk factors for Ankylosing spondylitis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Ankylosing spondylitis needs to be differentiated from certain conditions such as a strain of the lumbosacral joint, osteoarthritis, and Forestier's disease.
Differentiating Ankylosing spondylitis from other Diseases
Diseases that can have similar symptoms are
- Strain of lumbosacral joint
- Osteoarthritis
- Forestier's disease
- Tuberculous spondylitis
- Rheumatoid arthritis
- Bone cancer
- Ankylosing spondylitis should also be differentiated from other diseases presenting as arthralgia of the axial skeleton. The differentials include:
| Arthritis Type | Clinical Features | Body Distribution | Key Signs | Laboratory Abnormalities | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| History of Psoriasis | Symmetric joint involvement | Asymmetric joint involvement | Enthesopathy | Dactylitis | Nail Dystrophy | Human immunodeficiency virus association | Upper extremity-hands | Lower extremity | Sacroiliac joints | Spine | Osteopenia | Joint Space | Ankylosis | Periostitis | Soft tissue swelling | ESR | Rheumatoid factor (RF) | HLA-B27 | |
| Psoriatic arthritis | + | + | ++ | + | + | + | + | +++ (DIP/PIP) | +++ | ++ (Unilateral) | ++ | - | ++ (Widening) | ++ | +++ (Fluffy) | ++ | + | - | 30-75% |
| Rheumatoid arthritis | - | ++ | + | - | - | - | - | +++ | +++ | + (Unilateral) | ++(Cervical) | +++ | +++ (Narrowing) | + | + (Linear) | +++ | +++ | +++ | 6-8% |
| Ankylosing spondylitis | - | +++ | - | + | - | - | - | + | + | +++ (Bilateral) | +++ | +++ | ++ (Narrowing) | +++ | +++ (Fluffy) | + | +++ | - | 90% |
| Reactive arthritis (Reiter's syndrome) | - | +++ | - | + | + | - | - | ++ | +++ | ++ (Unilateral) | + | + | + (Narrowing) | - | +++ (Fluffy) | ++ | ++ | - | 75% |
Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent