Clinician's Manual on Ankylosing Spondylitis by Joachim Sieper

By Joachim Sieper

A radical consultant for readers to fast achieve an replace on typical prognosis and therapy tools for axial spondyloarthritis. nearly eighty illustrations and photographs are used through the textual content to exemplify the sickness and diagnostic and remedy algorithms. simply obtainable textual content and tables evaluation the present therapy concepts and rising remedies in keeping with contemporary medical trials.

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Extra resources for Clinician's Manual on Ankylosing Spondylitis

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3 X-ray of a spine with spondylophytes in degenerative spine disease. Spondylophytes (arrows) are typical for degenerative spine disease and have a horizontal growth, while syndesmophytes (not shown here) show a vertical growth. 4 Facet joints ankylosed over time. 5 CT image showing Andersson II lesion in ankylosing spondylitis. Spondylodisciitis with insufficiency fracture. Reproduced with permission from Sieper [50]. 6 Diffuse idiopathic skeletal hyperostosis. Radiograph of a male patient aged 75 years with diffuse idiopathic skeletal hyperostosis who experienced chronic back pain.

A) spondyloarthritis with osteitis (arrow) and effusion (E); (b) rheumatoid arthritis with synovitis (arrow) and effusion (E). Reproduced with permission from McGonagle et al. [37]. 11 Supraspinatus enthesitis at the humerus head in a patient with AS as seen by MRI. AS, ankylosing spondylitis; MRI, magnetic resonance image; STIR, short tau inversion recovery. (a) bone marrow oedema: hypointense on T1; (b) bone marrow oedema: hyperintense on STIR. Reproduced with permission from Lambert et al. [38].

J. 1 Osteitis condensans ilii. Radiograph of a woman aged 45 years with osteitis condensas ilii. The patient had low back pain for 3 months and was negative for HLA-B27. Figure provided courtesy of ASAS. 2 Typical X-ray changes of the spine in AS. AS, ankylosing spondylitis. (a) bridging syndesmophytes; (b) erosion and sclerosis; (c) small syndesmophyte. Reproduced with permission from Baraliakos et al. [48]. "(*/( */ "/,:-04*/(410/%:-*5*4 t  When investigating the spine by radiographs, the cervical and lumbar spine should be included.

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