Classification Criteria in Axial Spondyloarthritis What Have We Learned; Where Are We Going?

被引：15

作者：

Hayward, Rhys J. ^{[1
,2
,3
]}

Machado, Pedro M. ^{[1
,2
,4
,5
]}

机构：

[1] London North West Univ Healthcare NHS Trust, Northwick Pk Hosp, Dept Rheumatol, Watford Rd, Harrow HA1 3UJ, Middx, England

[2] London North West Univ Healthcare NHS Trust, Northwick Pk Hosp, Dept Rheumatol, Watford Rd, London HA1 3UJ, England

[3] Univ Coll London Hosp NHS Fdn Trust, Dept Rheumatol, 3rd Floor,250 Euston Rd, London NW1 2PG, England

[4] UCL, Dept Neuromuscular Dis, 1st Floor,Russell Sq House,10-12 Russell Sq, London WC1B 5EH, England

[5] UCL, Ctr Rheumatol, Rayne Inst, Room 415,4th Floor,5 Univ St, London WC1E 6JF, England

来源：

RHEUMATIC DISEASE CLINICS OF NORTH AMERICA | 2020年 / 46卷 / 02期

关键词：

Axial spondyloarthritis; Ankylosing spondylitis; Classification; Diagnosis; Back pain; Inflammation; Magnetic resonance imaging; Radiographs; INFLAMMATORY BACK-PAIN; ANKYLOSING-SPONDYLITIS; PERIPHERAL SPONDYLOARTHRITIS; UVEITIS NOMENCLATURE; CLINICAL HISTORY; FOLLOW-UP; FIBROMYALGIA; PREVALENCE; GUT; ENTHESITIS;

D O I：

10.1016/j.rdc.2020.01.008

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Spondyloarthritis (SpA) is a chronic inflammatory condition that can have a predominately peripheral or axial presentation. Axial SpA (axSpA) affects the axial skeleton with either radiographic (r-axSpA) or nonradiographic (nr-axSpA) changes. Radiographic changes are a late disease feature and earlier disease stages can be identified by incorporating other imaging methods. The diagnosis of axSpA is a clinical diagnosis and classification criteria are not aimed to be diagnostic tools. The split between r-axSpA and nr-axSpA is artificial and we should move toward the unifying concept of axSpA. Our understanding of genetics, biomarkers, and immunopathophenotypes will drive further refinement of classification criteria.

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页码：259 / +

页数：17

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