Referral strategy for early recognition of axial spondyloarthritis: Consensus recommendations from the Hong Kong Society of Rheumatology

C. C. Mok, L. S. Tam, M. H. Leung, K. Y. Ying, C. H. To, K. L. Lee, L. Y. Ho, M. L. Yip, H. S. Tsui, T. H. Chan, K. W. Lee, E. K.M. Li, Eric Yuk Tat Chan, Ka Ho Chan, Ka Man Chan, Ka Yan Helen Chan, Pui Shan, Julia Chan, Yee Ki Chan, Shuk Yi Lucia ChauTak Cheong Cheung, Tsang Cheung, Ho Yin Chung, Carmen Ho, Emily Kun, Lai Wa Kwok, Man Leung Kwok, Kitty Kwok, Chi Kwai Lam, Weng Ng Lao, Chak Sing Lau, Yu Lung Lau, Anthony Kai Yiu Lee, Tony Kwok Fai Lee, Kwok Kei Lee, Man Yee Jolly Lee, Shui Shan Lee, Tsz Leung Lee, Tsz Yan, Samson Lee, Man Chi Leung, Wai Ling Li, Hor Ming Liu, Ming Chi Luk, Kai Yiu Ma, Lai Wo Mak, Mo Yin Mok, Kam Hung Daniel Ng, Woon Leung Ng, Ho So, Chi Keung Sung, Ronald F. Tan, Shuk Kuen Sandy Tang, Man Choi Wan, Ching Han Wong, Kong Chiu Wong, Shiu Man, Pui Yan Wong, Jude Wong, Woon Sing Raymond Wong, Wai Shan Sandy Woo, Kit Yu Young, Cheuk Wan Yim, Ka Lung Carrel Yu, Ka Yan Catherine Yuen, Ka Man Amy Yung

研究成果: Article同行評審

4 引文 斯高帕斯(Scopus)


Low back pain is one of commonest problems prompting a visit to the family physician. Up to 5% of patients with chronic low back pain in the primary care setting are diagnosed as having spondyloarthritis, which includes the prototype disease ankylosing spondylitis. Making a diagnosis of ankylosing spondylitis is often delayed for years, leading to significant pain, impairment of quality of life, disability and productivity loss. A recent breakthrough in the treatment of spondyloarthritis is the anti-tumor necrosis factor-alpha biologics, which lead to rapid relief of pain and inflammation, and improvement in all clinical parameters of the disease. Patients with early spondyloarthritis often respond better than those with late established disease. With proper recognition of inflammatory back pain, and the use of magnetic resonance imaging, spondyloarthritis can now be diagnosed much earlier before features are evident on plain radiographs. Referral to the rheumatologist based on onset of back pain (> 3 months) before the age of 45 years, and an inflammatory nature of the pain, or the presence of human leukocyte antigen-B27, or sacroiliitis by imaging, have been confirmed in multi-center international studies to be a pragmatic approach to enable early diagnosis of spondyloarthritis. This referral strategy has recently been adopted by the Hong Kong Society of Rheumatology for primary care physicians and non-rheumatology specialists.

頁(從 - 到)500-508
期刊International Journal of Rheumatic Diseases
出版狀態Published - 10月 2013


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