复旦大学：《内科学》课程教学资源（PPT课件讲稿）血清阴性脊柱关节病

血清阴性脊柱关节病 (Serum RF negative spondylarthropathy Department of Internal Medicine Shanghai Medical College Dr. Hejian ZoU http://www.hjzou.com

血清阴性脊柱关节病 （Serum RF negative spondylarthropathy） Department of Internal Medicine Shanghai Medical College Dr. Hejian ZOU http://www.hjzou.com

Clinical features) RF negtive low back pain and stiffness other ioints enthesitis familial aggregation HLA-B27 related

【Clinical features】 RF negtive low back pain and stiffness other joints enthesitis familial aggregation HLA-B27 related

( Classification】 Ankylosing spondylitis Reiters syndrome Arthropathy of inflammatory bowel diseases Psoriatic arthritis Reactive arthritis Undifferentiated spondyloarthropathies

【Classification】 • Ankylosing spondylitis • Reiter’s syndrome • Arthropathy of inflammatory bowel diseases • Psoriatic arthritis • Reactive arthritis • Undifferentiated spondyloarthropathies

( Criteria】 Low back pain at least 3 months duration improved by exercise and not relieved by rest 2. Limitation of lumbarspine in sagittal and front planes 3. Chest expansion decreased relative to normal value for age and sex 4. Bilateral sacroiliitis grade 2-4 5. Unilateralsacroiliitis grade 3-4 Definite ankylosing spondylitisif unilateral grade 3 or 4, or bilateral grade 2-4 sacroiliitis and any clinial criterion

【 Criteria 】 1. Low back pain at least 3 months’ duration improved by exercise and not relieved by rest 2. Limitation of lumbar spine in sagittal and front planes 3. Chest expansion decreased relative to normal value for age and sex 4. Bilateral sacroiliitis grade 2-4 5. Unilateral sacroiliitis grade 3-4 Definite ankylosing spondylitis if unilateral grade 3 or 4, or bilateral grade 2-4 sacroiliitis and any clinial criterion

Clinical manifestations) 1.Age:<40 2. Onset: insidiously 3. Pathology: enthesis 4. Clinical manifestation low back pain and stiffness arthritis eye disease cardiovascular disease

【Clinical manifestations】 1. Age: <40 2. Onset: insidiously 3. Pathology: enthesis 4. Clinical manifestation： low back pain and stiffness arthritis eye disease cardiovascular disease -------

/後g大

R