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Ankylosing Spondylitis
1. Ankylosing Spondylitis
Presented by
Christopher Beckman
Program Director, Athletes Joined
Against Spondylitis
2. Basic β’ A non-rheumatoid
inflammatory arthritis in
Overview which the joints of the
spine, particularly the
lower back, become
inflamed and painful
β’ Inflammation causes new
bone to grow
β’ Fuses the vertebrae
together
β’ Restricts flexibility and
movement.
β’ Ankylosis means
"fusion," and spondyl
means "vertebra."
3. Overview β’ Ankylosing spondylitis
affects the sacroiliac
Contd joints (where the spine
joins the pelvis)
β’ Can progress to involving
the joints where the ribs
attach to the spine and
many other organs as well
4. β’ Lower back and hip pain
Symptoms and stiffness that persists
for three or more months
β’ Pain and stiffness in
morning
β’ Gets better after exercise,
worse after rest
β’ Fatigue, fever and loss of
appetite and weight
5. Symptoms β’ About 1 in 4 people get
Contd inflammation of the eye,
or iritis
β’ Swollen joints; this
symptom is
indistinguishable from
rheumatoid arthritis
7. β’ There is no cure
Treatment β’ Medication helps to
relieve pain and stiffness
β’ Surgery is sometimes
done but still doesnβt
cure it, it just restores
movement to the joints
8. β’ No test to positively
Diagnosis diagnose it
β’ Doctor tests for spinal
inflammation and the
presence of HLA-B27
which are major signs of
AS
9. β’ Typically NSAIDs (non-
Medication steroidal anti-inflammatory
drugs) and TNFs (Tumor
Necrosis Factor)
β’ Most effective is
Indomethacin
β’ Another drug is
Sulphasalazine
(Salazopyrin)
β’ NSAIDs control disease
activity
β’ Most medications are very
expensive
10. β’ AS can progress to
Complications involve the ribs, which
can make it difficult to
breath
β’ Smoking increases AS
severity 400%
β’ Works in tandem with rib
fusion to severely restrict
breathing which can
ultimately lead to death
due to lack of oxygen