Ankylosing spondylitis differential diagnosis: Difference between revisions
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{{CMG}} ; {{AE}} {{VKG}} | {{CMG}} ; {{AE}} {{VKG}} | ||
== Overview == | |||
Ankylosing spondylitis must be differentiated from other diseases causing [[ | [[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Ankylosing_spondylitis]] | ||
[[Ankylosing spondylitis]] must be differentiated from other diseases causing [[reactive arthritis]],[[rheumatoid arthritis]] and [[psoriatic arthritis]]. | |||
== Preferred Table == | |||
{| class="wikitable" | {| class="wikitable" | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Arthritis Type | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Arthritis Type | ||
| Line 60: | Line 64: | ||
| - | | - | ||
| - | | - | ||
| +++ | | +++ | ||
([[MCP joints|MCP]]/[[wrist]]) | ([[MCP joints|MCP]]/[[wrist]]) | ||
| +++ | | +++ | ||
| Line 116: | Line 120: | ||
|75% | |75% | ||
|} | |} | ||
Latest revision as of 20:12, 20 February 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Ankylosing spondylitis must be differentiated from other diseases causing reactive arthritis,rheumatoid arthritis and psoriatic arthritis.
Preferred Table
| 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% |