Kiltz U, Baraliakos X, Braun J
Rheumazentrum Ruhrgebiet, Herne.
Dtsch Med Wochenschr. 2012 Sep;137(36):1745-7. doi: 10.1055/s-0032-1305223. Epub 2012 Aug 29.
The characteristic features of spondyloarthritis are inflammation in the axial skeleton (sacroiliitis, spondylitis) and inflammation in peripheral joints (arthritis) and entheses (enthesitis). According to the leading clinical symptom SpA is today differentiated in the either predominant axial or the peripheral form. The axial SpA are further subdivided in ankylosing spondylitis and non-radiographic axial SpA. This subset is characterized by the absence of structural changes on conventional x-rays. In this review we describe the clinical symptoms, the diagnosis and therapy of patients with axial SpA.
脊柱关节炎的特征性表现为中轴骨骼炎症（骶髂关节炎、脊柱炎）、外周关节炎症（关节炎）和附着点炎症（附着点炎）。根据主要临床症状，如今脊柱关节炎可分为主要为中轴型或外周型。中轴型脊柱关节炎进一步细分为强直性脊柱炎和非放射学中轴型脊柱关节炎。这一亚组的特点是在传统X线片上无结构改变。在本综述中，我们描述了中轴型脊柱关节炎患者的临床症状、诊断和治疗。
