Spondyloarthritis

Common Name(s)

Spondyloarthritis, Spondyloarthropathy

Spondyloarthritis (or spondyloarthropathy) is a group of inflammatory diseases that cause arthritis in the sites where tendons and ligaments attach to bones (entheses). There are six forms of spondyloarthritis. The most common is ankylosing spondylitis, which mainly affects the spine. Other diseases in the spondyloarthritis family include axial spondyloarthritis (which affects mainly the spine and pelvic joints), peripheral spondyloarthritis (which affects mostly the arms and legs), reactive arthritis (Reiter’s syndrome), psoriatic arthritis, and enteropathic arthritis/spondylitis associated with inflammatory bowel diseases.

Signs and symptoms of spondyloarthritis varies depending on the disease. However, symptoms typically present with redness and swelling (inflammation) that causes pain and stiffness, usually in the spine. Some forms can affect the hands, feet, arms and legs. Another symptom includes destruction of bone that causes spine abnormalities (deformity). Additional complications of spondyloarthritis may include eye inflammation, compression fractures and heart problems. Symptoms usually begin around late adolescence or early adulthood. The exact cause of the spondyloarthritis group of diseases is unknown. They are believed to be due to a combination of genetic and environmental factors. Individuals with the HLA-B27 form of the HLA-B gene are at greater risk of developing ankylosing spondylitis, the most common type of spondyloarthritis.

To diagnose spondyloarthritis, your doctor will gather a medical history and perform a physical exam. In addition, they may collect images of the affected areas. There is no cure for spondyloarthritis, but treatment can include medications to decrease pain. If you or your child has been diagnosed with spondyloarthritis, talk with your doctor to discuss the current treatment options. Support groups can provide additional information and connect you with others.

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Condition Specific Organizations

Following organizations serve the condition "Spondyloarthritis" for support, advocacy or research.

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General Support Organizations

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Scientific Literature

Articles from the PubMed Database

Research articles describe the outcome of a single study. They are the published results of original research.
The terms "Spondyloarthritis" returned 222 free, full-text research articles on human participants. First 3 results:

Activation-Induced Killer Cell Immunoglobulin-like Receptor 3DL2 Binding to HLA-B27 Licenses Pathogenic T Cell Differentiation in Spondyloarthritis.
 

Author(s): Anna Ridley, Hiroko Hatano, Isabel Wong-Baeza, Jacqueline Shaw, Katherine K Matthews, Hussein Al-Mossawi, Kristin Ladell, David A Price, Paul Bowness, Simon Kollnberger

Journal: Arthritis Rheumatol. 2016 Apr;68(4):901-14.

 

In the spondyloarthritides (SpA), increased numbers of CD4+ T cells express killer cell immunoglobulin-like receptor 3DL2 (KIR-3DL2). The aim of this study was to determine the factors that induce KIR-3DL2 expression, and to characterize the relationship between HLA-B27 and the phenotype ...

Last Updated: 30 Mar 2016

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Comparison of non-radiographic axial spondyloarthritis and ankylosing spondylitis patients--baseline characteristics, treatment adherence, and development of clinical variables during three years of anti-TNF therapy in clinical practice.
 

Author(s): Johan K Wallman, Meliha C Kapetanovic, Ingemar F Petersson, Pierre Geborek, Lars Erik Kristensen

Journal:

 

The relationship between non-radiographic axial spondyloarthritis (nr-axSpA) and ankylosing spondylitis (AS) is currently debated. Using observational data from the South Swedish Arthritis Treatment Group register, we thus aimed to compare clinical development and treatment adherence ...

Last Updated: 25 Dec 2015

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The prevalence of axial spondyloarthritis in the UK: a cross-sectional cohort study.
 

Author(s): Louise Hamilton, Alex Macgregor, Andoni Toms, Victoria Warmington, Edward Pinch, Karl Gaffney

Journal:

 

Accurate prevalence data are important when interpreting diagnostic tests and planning for the health needs of a population, yet no such data exist for axial spondyloarthritis (axSpA) in the UK. In this cross-sectional cohort study we aimed to estimate the prevalence of axSpA in a ...

Last Updated: 22 Dec 2015

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Reviews from the PubMed Database

Review articles summarize what is currently known about a disease. They discuss research previously published by others.
The terms "Spondyloarthritis" returned 52 free, full-text review articles on human participants. First 3 results:

Non-Radiographic Axial Spondyloarthritis.
 

Author(s): Gleb Slobodin, Iris Eshed

Journal: Isr. Med. Assoc. J.. 2015 Dec;17(12):770-6.

 

The term non-radiographic axial spondyloarthritis (nrAxSpA) was coined for patients who have a clinical picture of ankylosing spondylitis (AS) but do not exhibit radiographic sacroiliitis. The ASAS classification criteria for nrAxSpA, ensuring the recruitment of homogenous study cohorts, ...

Last Updated: 22 Feb 2016

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Clinical Tools to Assess and Monitor Spondyloarthritis.
 

Author(s): Robert Landewé, Astrid van Tubergen

Journal: Curr Rheumatol Rep. 2015 Jul;17(7):47.

 

Assessment and monitoring is important in diseases affecting multiple sites and organs, such as axial spondyloarthritis (axSpA) that may have several signs and symptoms, and for which several treatments are available. Instruments for assessment and monitoring should be appropriately ...

Last Updated: 11 Jun 2015

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Juvenile spondyloarthritis.
 

Author(s): Sabrina Gmuca, Pamela F Weiss

Journal: Curr Opin Rheumatol. 2015 Jul;27(4):364-72.

 

This article provides a comprehensive update of the pathogenesis, diagnostic imaging, treatments, and disease activity measurements of juvenile spondyloarthritis (JSpA).

Last Updated: 28 May 2015

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Symptoms, Diagnosis, and Treatment

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Clinical Trial Information This information is provided by ClinicalTrials.gov

Last Updated: 15 Sep 2016

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Last Updated: 17 Mar 2015

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Last Updated: 10 May 2016

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