Ankylosing spondylitis differential diagnosis: Difference between revisions

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Revision as of 18:17, 10 April 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Ankylosing spondylitis needs to be differentiated from certain conditions such as a strain of the psoriatic arthritis,rheumatoid arthritis and reactive arthritis.

Differentiating Ankylosing spondylitis from other Diseases

Ankylosing spondylitis must be differentiated from other diseases causing oligo/polyarthritis or arthritis of the axial skeleton, including: {| 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==

Template:WH Template:WS

@@ Line 4: / Line 4: @@
 ==Overview==
-Ankylosing spondylitis needs to be differentiated from certain conditions such as a strain of the lumbosacral joint, [[osteoarthritis]], and [[Forestier's disease]].
+Ankylosing spondylitis needs to be differentiated from certain conditions such as a strain of the psoriatic arthritis,rheumatoid arthritis and reactive arthritis.
 ==Differentiating Ankylosing spondylitis from other Diseases==
-<small>
+* Ankylosing spondylitis must be differentiated from other diseases causing [[Oligoarthritis|oligo]]/[[polyarthritis]] or [[arthritis]] of the [[axial skeleton]], including:<small> {| 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% |}  Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent  ==References==
-{| 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%
-|}
-Key:+ : Infrequently present, ++ : Frequently present, +++ : Always present, - : Absent
-==References==
 {{Reflist|2}}
 {{WH}}
-{{WS}}
+{{WS}} [[Category:Arthritis]] [[Category:Autoimmune diseases]]
-[[Category:Arthritis]]
-[[Category:Autoimmune diseases]]

Ankylosing spondylitis differential diagnosis: Difference between revisions

Revision as of 18:17, 10 April 2018

Overview

Differentiating Ankylosing spondylitis from other Diseases

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