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Ankylosing spondylitis needs to be differentiated from certain conditions such as a strain of the psoriatic arthritis,rheumatoid arthritis and reactive arthritis.
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==
==Differentiating Ankylosing spondylitis from other Diseases {| 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
* 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==
 
===Differential diagnosis of psoriatic arthritis===
Psoriatic arthritis must be differentiated from other diseases causing [[Oligoarthritis|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|'''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


{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WH}}
{{WS}}  
{{WS}}   ==
[[Category:Arthritis]]  
[[Category:Arthritis]]
[[Category:Autoimmune diseases]]
[[Category:Autoimmune diseases]]

Revision as of 18:19, 10 April 2018

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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 {| 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

Template:WH Template:WS ==

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