Kiltz U, Baraliakos X, Braun J
Rheumazentrum Ruhrgebiet, Claudiusstr. 45, 44649, Herne, Deutschland.
Internist (Berl). 2016 Nov;57(11):1060-1068. doi: 10.1007/s00108-016-0140-9.
The term spondyloarthritis (SpA) is now increasingly used to classify and diagnose patients who are characterized by inflammation in the axial skeleton and peripheral manifestations (arthritis and enthesitis). The management of SpA should be tailored according to the current manifestations of the disease, the disease activity and functional impairment. The current article focuses on diagnosis and therapy in patients with axial SpA. Diagnostic procedures are discussed in light of diagnostic utility and feasibility in daily routine care. Cornerstones of treatment in patients with axial SpA are a combination of regular exercise and pharmacological treatment options aiming at anti-inflammatory strategies.
术语“脊柱关节炎（SpA）”如今越来越多地用于对以中轴骨骼炎症和外周表现（关节炎和附着点炎）为特征的患者进行分类和诊断。SpA的管理应根据疾病的当前表现、疾病活动度和功能损害进行调整。本文重点关注中轴型SpA患者的诊断和治疗。根据日常护理中的诊断效用和可行性对诊断程序进行了讨论。中轴型SpA患者治疗的基石是定期锻炼和旨在抗炎策略的药物治疗方案相结合。
