Ankylosing spondylitis differential diagnosis: Difference between revisions

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__NOTOC__
{{CMG}} ; {{AE}} {{VKG}}
{{Ankylosing spondylitis}}
{{CMG}}


==Overview==
== Overview ==
Ankylosing spondylitis needs to be differentiated from certain conditions such as a strain of the lumbosacral joint, [[osteoarthritis]], and [[Forestier's disease]].
[[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]].


==Differentiating Ankylosing spondylitis from other Diseases==
== Preferred Table ==
Diseases that can have similar symptoms are
 
*Strain of lumbosacral joint
{| class="wikitable"
*[[Osteoarthritis]]
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Arthritis Type
*[[Forestier's disease]]
! colspan="7" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Clinical Features
*[[Tuberculous spondylitis]]
! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Body Distribution
*[[Rheumatoid arthritis]]
! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Key Signs
*[[Bone cancer]]
! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Laboratory Abnormalities
==References==
|-
{{Reflist|2}}
|
{{WH}}
|'''History of Psoriasis'''
{{WS}}
|'''Symmetric [[joint]] involvement'''
[[Category:Arthritis]]
|'''Asymmetric [[joint]] involvement'''
[[Category:Autoimmune diseases]]
|[[Enthesopathy|'''Enthesopathy''']]
|'''[[Dactylitis]]'''
|'''[[Nail (anatomy)|Nail]] [[Dystrophy]]'''
|'''[[Human Immunodeficiency Virus (HIV)|Human immunodeficiency virus]] association'''
|'''[[Upper extremity]]-hands'''
|'''[[Lower extremity]]'''
|'''[[Sacroiliac joint|Sacroiliac joints]]'''
|'''[[Spine]]'''
|'''[[Osteopenia]]'''
|'''[[Joint]] Space'''
|'''[[Ankylosis]]'''
|'''[[Periostitis]]'''
|'''[[Soft tissue]] swelling'''
|'''[[ESR]]'''
|'''[[Rheumatoid factor]] ([[Rheumatoid factor|RF]])'''
|'''[[HLA-B27]]'''
|-
|'''[[Psoriatic arthritis]]'''
| +
| +
| ++
| +
| +
| +
| +
| +++ ([[Distal interphalangeal joints|DIP]]/[[Proximal interphalangeal joints|PIP]])
| +++
| ++ (Unilateral)
| ++
| -
| ++ (Widening)
| ++
| +++ (Fluffy)
| ++
| +
| -
|30-75%
|-
|'''[[Rheumatoid arthritis]]'''
| -
| ++
| +
| -
| -
| -
| -
| +++
([[MCP joints|MCP]]/[[wrist]])
| +++
| + (Unilateral)
| ++([[Cervical spine|Cervical]])
| +++
| +++ (Narrowing)
| +
| + (Linear)
| +++
| +++
| +++
|6-8%
|-
|'''[[Ankylosing spondylitis]]'''
| -
| +++
| -
| +
| -
| -
| -
| +
| +
| +++ (Bilateral)
| +++
| +++
| ++ (Narrowing)
| +++
| +++ (Fluffy)
| +
| +++
| -
|90%
|-
|'''[[Reactive arthritis]] ([[Reiter's syndrome]])'''
| -
| +++
| -
| +
| +
| -
| -
| ++
| +++
| ++ (Unilateral)
| +
| +
| + (Narrowing)
| -
| +++ (Fluffy)
| ++
| ++
| -
|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 - ++ + - - - - +++

(MCP/wrist)

+++ + (Unilateral) ++(Cervical) +++ +++ (Narrowing) + + (Linear) +++ +++ +++ 6-8%
Ankylosing spondylitis - +++ - + - - - + + +++ (Bilateral) +++ +++ ++ (Narrowing) +++ +++ (Fluffy) + +++ - 90%
Reactive arthritis (Reiter's syndrome) - +++ - + + - - ++ +++ ++ (Unilateral) + + + (Narrowing) - +++ (Fluffy) ++ ++ - 75%
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