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Ankylosing Spondylitis
       Presented by
   Christopher Beckman
Program Director, Athletes Joined
      Against Spondylitis
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."
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
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
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
Demographics
β€’ Mainly afflicts men between the ages of 14
  and 35
β€’ There is no cure
Treatment   β€’ Medication helps to
              relieve pain and stiffness
            β€’ Surgery is sometimes
              done but still doesn’t
              cure it, it just restores
              movement to the joints
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
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
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

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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
  • 6. Demographics β€’ Mainly afflicts men between the ages of 14 and 35
  • 7. β€’ There is no cure Treatment β€’ Medication helps to relieve pain and stiffness β€’ Surgery is sometimes done but still doesn’t 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