Kellner H
Rheuma-Einheit, Medizinische Poliklinik, Klinikum der Universität München, Innenstadt, Pettenkoferstr. 8a, 80336 München.
Z Rheumatol. 2002 Dec;61(6):643-51. doi: 10.1007/s00393-002-0474-7.
Besides rheumatoid arthritis, seronegative spondyloarthropathies are one of the most common inflammatory musculoskeletal diseases. The main clinical manifestations are spondylitis and sacroiliitis, but peripheral arthritis and involvement of other organ systems are known as well. The typical ankylosis of the spine is resulting in a marked loose of the functional capacity. During the course of disease, work disability is progressing and finally the patient may become permanent disabled. Patients with ankylosing spondylitis can be viewed by experts for several reasons. To guarantee an objective medical expert view, a detailed clinical examination and use of clinical indices are mandatory.