Ankylosing spondylitis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Ankylosing spondylitis typically presents in a young patient with chronic pain and stiffness in lower part of spine. In 40% of cases, ankylosing spondylitis is associated with iridocyclitis (anterior uveitis, also known as iritis) causing eye pain and photophobia (increased sensitivity to light). Other common symptoms are recurring mouth ulcers (aphthae) and fatigue.
History
The typical patient is young, of 15 to 30 years of age with chronic pain and stiffness in the lower part of the spine. Men are affected more than women by a ratio in excess of 2:1.[1] In 40% of cases, ankylosing spondylitis is associated with iridocyclitis (anterior uveitis, also known as iritis) causing eye pain and photophobia (increased sensitivity to light). Other common symptoms are recurring mouth ulcers (aphthae) and fatigue. Pain fluctuation from one side to the other.
Typical prodromes (early symptoms) may occur at a very young age (e.g. 3 years old), where the patient may experience recurring painful joints (e.g. knees, elbows), commonly misinterpreted as simple rheumatism.
Common Synmptoms
- Chronic pain and stiffness in lower back and hips, especially in the morning and after periods of inactivity. As disease progresses, symptoms get worse and one may feel pain and stiffness over time.
- Joint pain
- Joint swelling
- Stiff, inflexible spine
- Eye inflammation or uveitis
- Restricted expansion of your chest
- Low fever
- Fatigue
- Loss of appetite
- Weight loss