Correspondence to Professor Juergen Braun, Rheumazentrum Ruhrgebiet, Herne D-44652, Germany.
Ann Rheum Dis. 2010 Jul;69(7):1264-8. doi: 10.1136/ard.2010.130559.
Inflammatory back pain (IBP) is the leading symptom of patients with spondyloarthritis (SpA), but its value for diagnosis, classification and screening in primary care is not well defined. Although often used since 1977, its clinical significance has not been extensively studied. As shown recently, most but clearly not all patients with axial SpA have IBP. Therefore IBP has not been included in current criteria for axial SpA as a first-line criterion. The value of IBP for diagnosis of SpA increases in the presence of other more or less sensitive and specific features of SpA such as response to exercise and physical therapy and/or treatment with non-steroidal anti-inflammatory agents.
炎症性背痛（IBP）是脊柱关节炎（SpA）患者的主要症状，但在初级保健中，其对诊断、分类和筛查的价值尚未得到明确界定。尽管自 1977 年以来经常使用，但它的临床意义尚未得到广泛研究。如最近所示，大多数但显然不是所有的轴性 SpA 患者都有 IBP。因此，IBP 并未被纳入当前的轴性 SpA 标准作为一线标准。在存在其他或多或少敏感和特异的 SpA 特征的情况下，如对运动和物理治疗的反应以及/或非甾体抗炎药治疗，IBP 对 SpA 的诊断价值会增加。
