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🌱 來自: seronegative spondyloarthritis

Clinical assessment of seronegative spondyloarthritis

• Seronegative:

  • Rheumatoid factor and other autoantibodies usually negative
  • ± ↑ ESR/CRP

• HLA-B27

• Axial disease physical exam:

  • Lumbar flexion deformity assessed by modified Schober’s test:
    • ⊕ if <5 cm ↑ in distance between a point 5 cm below the lumbosacral junction and another point 10 cm above when going from standing to maximum forward flexion
  • T-spine mobility (extension) and kyphosis severity measured by occiput-to-wall distance (although occiput-to-wall distance can also be increased in osteoporotic kyphosis)

• Infectious evaluation for reactive arthritis

• Radiology 󰒖