Ankylosing spondylitis: defining
Ankylosing spondylitis is a chronic rheumatism, characterized by inflammation that primarily affects the spine. It can also affect the joints (called arthritis ), and the tendons and / or ligaments.Inflammation manifests as night pain associated with stiffness predominate at night and early morning.
Ankylosing spondylitis is responsible in the absence of treatment of a progressive stiffening of the spine and joints and deformation and joint destruction makes it difficult gestures of everyday life.Hence the need for early treatment.
Notes  This term defines an inflammation of the joint without prejudice to the underlying cause (infectious micro crystalline, inflammatory arthritis), arthritis results in pain, something red, hot and swollen joint.
Ankylosing spondylitis: Causes
Currently the cause of ankylosing spondylitis is unknown. It is a multifactorial disease: its appearance was due to external factors (probably infections) occurring in susceptible individuals (ie on a particular genetic background).
The mechanism of action of the disease involves inflammation that primarily affects the joints of the pelvis and ligaments surrounding the vertebrae. This inflammation can cause ossification of the ligaments at the root of the stiffness of the spine, potentially the vertebrae gradually welded to each other.
Ankylosing Spondylitis: Symptoms
Ankylosing spondylitis often affects young males (18-35 years), more rarely women. The clinical manifestations are varied.
These are typically back pain occurs most often at night not relieved by rest in the morning with a large stiffness of the joint. There are often buttock pain rocking. Ie that they occur on one side then the other.
The other affected joints are the hips, knees and those of the fingers and orteils.Il is often inflammation of the heel.
Ankylosing spondylitis affects other organs such as: - Skin: psoriasis-eye: uveitis, the intestines: diarrhea and abdominal pain-the heart, arrhythmias, valvular lesions, the lung.
What diseases are close?
The main diagnoses that must be disposed of are caused by infectious arthritis, arthritis micro crystalline, other spondyloarthropathies, and finally other rheumatic diseases including rheumatoid arthritis.
Ankylosing Spondylitis: Prevention
It is currently not possible to prevent its occurrence.
Ankylosing spondylitis: review
The diagnosis of ankylosing spondylitis is based on clinical, radiological and biological weapons.
It produces x-rays of the spine and pelvis and clichés peripheral joint pain.
A CT scan of the pelvis can be performed to confirm the achievement of the basin often not visible to radio.L MRI may be helpful. Indeed, the definitive diagnosis of spondylitis is based on the appearance of radiological characteristics often late-onset 1-2 years after the onset of the disease. More early diagnosis is more limited joint destruction. The nuclear magnetic resonance imaging, or MRI, can significantly shorten this period. In addition, the absence of irradiation allows its use in young pregnant women like (without injection).
Wanted to blood inflammatory syndrome.
Finally when a joint is swollen and painful, it makes a puncture of the liquid using a fine needle intramuscularly to analyze it.
Ankylosing Spondylitis: Treatment
The main goals of treatment are the fight against pain and inflammation and prevent complications described above.
In all cases, the management of the disease must be multidisciplinary.
Treatment of ankylosing spondylitis symptomatic
analgesic and anti-inflammatory steroids
They struggle against pain and inflammation.
They do not act immediately on pain and inflammation. Onset of action 3-4 weeks. They reduce the consumption of analgesic drugs and fight against inflammation throughout cours.Une new generation of background therapy came with the advent of biological therapies. This is particularly anti-TNF alpha with a faster onset of action as disease-modifying "classic". They limit joint destruction and improves quality of life for patients. This is the rheumatologist decides to use this product or not.
infiltration of the joints affected by steroids
Physical therapy is essential. It helps prevent stiffness. We must do exercises daily. Occupational therapy adapts the environment to a possible disability exists. Orthotics can be made: they are molded plastic splints on the joints, to avoid distortions
Surgery may be useful in some cases.
A psychological treatment may be necessary during a long illness a source of potential handicaps in everyday life.
Spa treatments can be a good contribution.
People with ankylosing spondylitis should enjoy a normal social and professional activities, outside periods of painful flare. During an outbreak of rheumatic fever is recommended to rest the joint in question.
The practice of sport is not against-indicated if it is not in a spirit of competition but complementary exercises developed with the physiotherapist. Also talk to your therapist and your therapist of the best ways to save your joints and adapt your environment to your potential disability.
Pregnancy poses no risk to either mother or the baby, however, certain prescription drugs in ankylosing spondylitis should be stopped during pregnancy. It is important to tell your doctor any current or desired pregnancy.
There is no indication to follow a special diet.
Spondylitis is not part of disease management to 100% by Social Security. However depending on the severity and progression of the disease, your doctor may apply to the medical officer of the Social Security.
There is an association: Association France Spondylitis
Headquarters: Hôpital Ambroise Paré - Groupement Hospitalier Universitaire Ouest - Rheumatology department of Prof. JM Park
9 avenue Charles de Gaulle - 92100 Boulogne-Billancourt
Secretariat: 50 Bis, Rue des Gunsmiths - 19150 LAGUENS
A booklet ("spondylitis in 100 questions") was conducted by the Institute of Rheumatology, Cochin Hospital, you can get this by asking your rhumatologue.En the more
Ankylosing Spondylitis: Evolution
The development of ankylosing spondylitis is different from person to person and unpredictable. However, according to two major modes of presentation of the disease, there are two types of complications:
Patients with essentially a breach of the spine and joints of the pelvis, may appear in the absence of treatment, stiffness of the spine secondary to weld the vertebrae to one another (known as ankylosis).
Patients with predominant damage to the joints of the members may have in the absence of treatment destruction and ankylosis of the joint.
Outside of the joints and ligaments, ankylosing spondylitis can affect other organs such as eye, heart and lung. The evolution of the disease is by episodes of attacks, interspersed with periods of more or less complete remissions. Treated early the disease progresses more slowly and may be stabilizing.
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