Ankylosing spondylitis differential diagnosis: Difference between revisions
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{{Ankylosing spondylitis}} | {{Ankylosing spondylitis}} | ||
Ankylosing spondylitis must be differentiated from other diseases causing [[Oligoarthritis|oligo]]/[[polyarthritis]] or [[arthritis]] of the [[axial skeleton]], including:<small> | |||
<small> | |||
{| class="wikitable" | {| class="wikitable" | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Arthritis Type | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Arthritis Type | ||
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|75% | |75% | ||
|} | |} | ||
Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent | Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent | ||
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{{WS}} | {{WS}} | ||
== | == | ||
[[Category:Arthritis]] | |||
[[Category:Autoimmune diseases]] | |||
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Revision as of 18:20, 10 April 2018
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Ankylosing spondylitis must be differentiated from other diseases causing oligo/polyarthritis or arthritis of the axial skeleton, including:
| 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
==