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Spondyloarthropathies are a family of long-term (chronic) diseases of
joints. These diseases occur in children (juvenile spondyloarthropathies) and
adults. They include
psoriatic arthritis, and joint problems linked to
inflammatory bowel disease (enteropathic
arthritis). Spondyloarthropathies are sometimes called spondyloarthritis.
Although all spondyloarthropathies have different
symptoms and outcomes, they are similar in that all of them:
It is important to recognize that the spondyloarthropathies
are different from
rheumatoid arthritis (RA) in adults and
juvenile idiopathic arthritis (JIA) in children.
know what causes spondyloarthropathies. The presence of a particular
gene, HLA-B27, is often associated with ankylosing
spondylitis. Spondyloarthropathies, especially ankylosing spondylitis, are more likely to run in families than
other forms of rheumatic disease, such as
lupus or rheumatoid arthritis.
Although spondyloarthropathies all result in joint pain,
each type also has specific symptoms.
A general difference between spondyloarthropathies and
juvenile spondyloarthropathies is that in adults, the spine generally is
affected, while in children the arms and legs are more frequently affected.
Children may have 4 or fewer joints that are painful or swollen (typically the
knees or ankles), inflammation of a part of the eye (iritis), and
neck pain and stiffness.
Spondyloarthropathies may cause
inflammatory eye disease, particularly
uveitis. In some cases, spondyloarthropathies can
cause disabilities, particularly if bones in the spine fuse together. People
who have spondyloarthropathies for a long time may develop complications in
organs, such as the heart and lungs.
Spondyloarthropathies are diagnosed through a medical history, lab
tests, imaging tests such as an X-ray or MRI, and by symptoms of joint and tissue inflammation, morning stiffness, and
other symptoms unique to a specific spondyloarthropathy (such as scaly skin in
psoriatic arthritis). Different types of tests may be done for the different
cases, spondyloarthropathies are mild and may be undiagnosed for many years.
Most people do not have trouble with daily activities. Treatment is focused
on relieving pain and stiffness and on good posture and stretching of the
affected areas to prevent stiffening and deformity.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are
commonly used to treat pain and inflammation linked to
spondyloarthropathies. Other treatment options depend on the type of
spondyloarthropathy you have. For example, medicines are used to treat
intestinal inflammation in enteropathic arthritis.
Be safe with medicines. Read and follow all instructions on the label.
Other Works Consulted
American Academy of Orthopaedic Surgeons and American Academy of Pediatrics (2010). Seronegative spondyloarthropathies. In JF Sarwark, ed., Essentials of Musculoskeletal Care, 4th ed., pp. 1174–1176. Rosemont, IL: American Academy of Orthopaedic Surgeons.
Maksymowych WP (2013). Seronegative spondyloarthritis. In EG Nabel et al., eds., Scientific American Medicine, chap. 98. Hamilton, ON: BC Decker. https://www.deckerip.com/decker/scientific-american-medicine/chapter/98/pdf. Accessed December 15, 2016.
ByHealthwise StaffPrimary Medical ReviewerE. Gregory Thompson, MD - Internal MedicineMartin J. Gabica, MD - Family MedicineKathleen Romito, MD - Family MedicineSpecialist Medical ReviewerRicha Dhawan, MD - Rheumatology
Current as ofJanuary 20, 2017
Current as of:
January 20, 2017
E. Gregory Thompson, MD - Internal Medicine
& Martin J. Gabica, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & Richa Dhawan, MD - Rheumatology
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