Reasons for late diagnosis of ankylosing spondylitis in clinical practice
https://doi.org/10.14412/1995-4484-2010-1415
Abstract
patients aged 18 years or older with the valid diagnosis of AS being first established in their life. Results. The outpatient diagnosis of AS is made 8,1±6,0 years, on average, after the occurrence of the first symptoms of the disease. In 75% of cases, the onset of AS begins with inflammatory back pain. The most common diagnosis made in patients is vertebral osteochondrosis before AS is diagnosed in the outpatient practice. Conclusion. The reasons for late diagnosis of AS are the pattern of the disease at its onset and diagnostic errors.
References
1. <div><p>Клинические рекомендации. Ревматология. М.: ГЭОТАР-Медиа, 2005;72-3.</p><p>Khan M.A. Update on Spondyloarthropathies. Ann Intern Med 2002;136:896-907.</p><p>Rudwaleit M., van der Heijde D., Khan M.A. et al. How to diagnose axial spondyloarthritis early. Ann Rheum Dis 2004;63:535-43.</p><p>Said-Nahal R., Miceli-Richard C., Berthelot J.M. et al. on behalf of the Groupe Francais d'Etude Genetique des Spondylarthropathies. The familial form of spondylarthropathy: a clinical study of 115 multiplex families. Arthr Rheum 2000;43:1356-65.</p><p>Rudwaleit M., Khan M.A., Sieper J. The challenge of diagnosis and classification in early ankylosing spondylitis: do we need new criteria? Arthr Rheum 2005;52:1000-8.</p><p>Sieper J., Rudwaleit M. Early referral recommendations for ankylosing spondylitis (including pre-radiographic and radiographic forms) in primary care. Ann Rheum Dis 2005;64:659-63.</p><p>Sieper J., Braun J., Rudwaleit M. et al. Ankylosing spondylitis: an overview. Ann Rheum Dis 2002;61:8-18.</p><p>Rudwaleit M., Metter A., Listing J. et al. Inflammatory back pain in ankylosing spondylitis: a reassessment of the clinical history for application as classification and diagnostic criteria. Arthr Rheum 2006;54:569-78.</p><p>Sieper J., van der Heijde D.M., Landewе R.B.M. et al. New criteria for inflammatory back pain in patients with chronic back pain a real patient exercise of the Assessment in SpondyloArthritis international Society (ASAS). Ann Rheum Dis 2009;68:784-8. 10. Rojas-Vargas M., Munoz-Gomariz E., Escudero А. et al. First signs and symptoms of spondyloarthritis - data from an inception cohort with a disease course of two years or less (REGISPONSER-Early). Rheumatology 2009;48:404-9.</p><p>Linder R., Hoffmann A., Brunner R. Prevalence of the spondyloarthritides in patients with uveitis. J Rheumatol 2004;31:2226-9.</p><p>Feltkamp T., Ringrose J. Acute anterior uveitis and spondyloarthropathies. Curr Opin Rheum 1998;10:314-8.</p><p>Bergfeldt L. HLA-B27-associated cardiac disease. Ann Med Interne 1997;127(8):621-9.</p><p>Эрдес Ш.Ф., Дубинина Т.В., Галушко Е.А. Частота и характер болей в нижней части спины среди амбулаторных больных в г.Москве. Сообщение II. Науч.-практич ревматол 2006;2:6-12.</p><p>Van Tubergen A., Heuft-Dorenbosch L., Schulpen G. Radiographic assessment of sacroiliitis by radiologist and rheumatologists: does training improve quality? Ann Rheum Dis 2003;62:519-25.</p></div><br />
Review
For citations:
Dubinina T.V., Erdes Sh.F. Reasons for late diagnosis of ankylosing spondylitis in clinical practice. Rheumatology Science and Practice. 2010;48(2):43-48. (In Russ.) https://doi.org/10.14412/1995-4484-2010-1415