Rasool Tabe, Umer Tahira Perveen, Nazir Lubna, Arain Shafique Rehman, Phulpoto Kausar, Afzal Warda
Department of Rheumatology.
Student, Liaquat National Hospital & Medical College, Karachi, Pakistan.
J Ayub Med Coll Abbottabad. 2018 Apr-Jun;30(2):253-257.
Low back pain (LBP) is considered as one of the most frequent health problems which is responsible for forming a huge worldwide burden. This study was conducted with the aim to determine the frequency of axial-Spondyloarthropathy (axSpA) in patients presenting with chronic backache using Assessment of Spondyloarthritis International Society (ASAS) Criteria for axSpA.
A total of 231 participants of either gender were enrolled with complaint of backache of more than or equal to 3 months duration and younger than 45 years. In the first stage, patients were interviewed and examined using standard questionnaire. In the second stage after going through laboratory investigations and imaging patients were classified into either axSpA (those meeting ASAS Criteria for axSpA) or non-SpA.
There were 65 males and 166 females. Mean age was 36.26 years. Eighty-nine (39%) patients were found to have axSpA as per ASAS Criteria. Majority of patients 70 (78.6%) in the imaging arm of ASAS Criteria were picked via MRI of sacroiliac joints. Peripheral arthritis was seen in 57 (64%) and Enthesitis in 52 (58.4%).
MRI performed exceptionally to reveal sacroiliitis highlighting the importance of this imaging modality in axSpA, which we recommend to be included in diagnostic algorithm in evaluating patients with chronic backache under 45 years age.
下腰痛（LBP）被认为是最常见的健康问题之一，在全球造成了巨大负担。本研究旨在使用国际脊柱关节炎协会（ASAS）的axSpA标准，确定慢性背痛患者中轴向脊柱关节炎（axSpA）的发生率。
共纳入231名男女参与者，他们均主诉背痛持续时间≥3个月且年龄小于45岁。在第一阶段，使用标准问卷对患者进行访谈和检查。在第二阶段，经过实验室检查和影像学检查后，将患者分为axSpA（符合ASAS的axSpA标准者）或非SpA。
男性65例，女性166例。平均年龄为36.26岁。根据ASAS标准，89例（39%）患者被诊断为axSpA。在ASAS标准的影像学检查部分，大多数患者70例（78.6%）是通过骶髂关节MRI检出的。57例（64%）患者出现外周关节炎，52例（58.4%）出现附着点炎。
MRI在显示骶髂关节炎方面表现出色，突出了这种影像学检查在axSpA中的重要性，我们建议将其纳入45岁以下慢性背痛患者的诊断流程中。
