基层医疗中强直性脊柱炎（包括放射学前期和放射学表现期）的早期转诊建议
Early referral recommendations for ankylosing spondylitis (including pre-radiographic and radiographic forms) in primary care.
作者信息
Sieper J, Rudwaleit M
机构信息
Medical Department I, Rheumatology, Charitè, University Medicine Berlin, Germany.
出版信息
Ann Rheum Dis. 2005 May;64(5):659-63. doi: 10.1136/ard.2004.028753. Epub 2004 Nov 4.
Abstract
An earlier diagnosis of ankylosing spondylitis (AS) is required because there is still a 5-7 year delay between first symptoms and diagnosis, and new effective treatments are available for active disease. Primary care physicians need easy to apply parameters to help them identify patients with suspected AS for onward referral. The best measures found were inflammatory back pain and HLA-B27 positivity.
摘要
需要对强直性脊柱炎（AS）进行早期诊断，因为从首次出现症状到确诊仍有5至7年的延迟，而且针对活动性疾病有新的有效治疗方法。基层医疗医生需要易于应用的参数来帮助他们识别疑似AS的患者以便转诊。发现的最佳指标是炎性背痛和HLA - B27阳性。
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