Abstrakt

A rheumatology clinic experience in Mansoura revealed the demographic, clinical, and radiological features of Egyptian patients with seronegative spondyloarthritis

A. Abdel Salam

Introduction: Seronegative spondyloarthritis (Gym) is a group of habitual potentially disabling conditions that affect substantially axial joints in addition to extra-articular instantiations similar as enteritis, ductility’s and uveitis.

Aim of the work: To assess the demographic features, clinical instantiations and radiological findings of Gym in Egyptian cases.

Cases and styles: Fifty- three Gym cases were signed from the Rheumatology and Immunology Unit of Mansoura University Hospital. Demographic, clinical and remedial data were collected. Skin was precisely assessed for psoriasis. Erythrocyte sedimentation rate (ESR) and C- reactive protein (CRP) were measured. All cases were estimated by conventional radiographs of hands, knees, ankles, sacroiliac joints (SIJ) and lumbosacral backbones in addition to glamorous resonance imaging (MRI) of the SIJs

Results: Ankylosing spondylitis (AS) was the most current (55) followed by psoriatic arthritis (PsA) (38) and 2 cases had enteropathic arthritis, one had reactive arthritis and another had undifferentiated Gym. The mean age of the cases was 39 ±10.8 times; complaint duration was 10 ±3.5 times with a manly ascendance (58). Seditious low reverse pain was present in all the cases and77.4 had both axial and supplemental arthritis. Extra-articular instantiations as enteritis, bursitis and ductility’s were detected in only9.4 of cases. Sacroiliitis was detected in81.1 of cases using conventional radiographs. MRI detected bone gist edema in9.4, narrowing in11.3, sclerosis in 17 and ankylosis in52.8.

Conclusion: The demographic, clinical and radiological characteristics of Egyptian Gym cases are similar to those from other countries except for the ower frequence ofextra-articular instantiations