Ankylosing spondylitis differential diagnosis: Difference between revisions
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== Overview == | == Overview == | ||
{{Ankylosing spondylitis}} | {{Ankylosing spondylitis}} | ||
Ankylosing spondylitis must be differentiated from other diseases causing | [[Ankylosing spondylitis]] must be differentiated from other diseases causing [[reactive arthritis]],[[rheumatoid arthritis]] and [[psoriatic arthritis]].<small><small> | ||
</small></small> | == Differentiating X from other Diseases == | ||
Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent | * [[Ankylosing spondylitis]] must be differentiated from other diseases causing [[reactive arthritis]],[[rheumatoid arthritis]] and [[psoriatic arthritis]]. {| class="wikitable" ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Arthritis Type ! colspan="7" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Clinical Features ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Body Distribution ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Key Signs ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Laboratory Abnormalities |- | |'''History of Psoriasis''' |'''Symmetric [[joint]] involvement''' |'''Asymmetric [[joint]] involvement''' |[[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% |}<small><small> </small></small> Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent ==References== | ||
==References== | |||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} [[Category:Arthritis]] | ||
[[Category:Arthritis | |||
Revision as of 18:36, 11 April 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
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Ankylosing spondylitis must be differentiated from other diseases causing reactive arthritis,rheumatoid arthritis and psoriatic arthritis.
Differentiating X from other Diseases
- Ankylosing spondylitis must be differentiated from other diseases causing reactive arthritis,rheumatoid arthritis and psoriatic arthritis. {| class="wikitable" ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Arthritis Type ! colspan="7" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Clinical Features ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Body Distribution ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |Key Signs ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" ! + |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% |} Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent ==References==