Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye

Background: A diagnosis of ankylosing spondylitis (AS) is challenging and often delayed despitebpatients being symptomatic. Low back pain is the most common initial symptom, appearing in the second and third decades of life. Acute anterior uveitis (AAU) occurs much later in the course of the disease...

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Autores principales:	Chew Chia Chee, Chin Ju Juen, Wan Hazabbah Wan Hitam, Chong Mei Fong, Liza-Sharmini Ahmad Tajudin
Formato:	article
Lenguaje:	EN
Publicado:	Academy of Family Physicians of Malaysia 2021
Materias:	low back pain ankylosing spondylitis anterior uveitis good health and well being Medicine R
Acceso en línea:	https://doaj.org/article/ea80e0ae371e44ae98f125c8fb9fcd8a
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spelling	oai:doaj.org-article:ea80e0ae371e44ae98f125c8fb9fcd8a2021-12-04T07:14:27ZDiagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye10.51866/cr11211985-2274https://doaj.org/article/ea80e0ae371e44ae98f125c8fb9fcd8a2021-06-01T00:00:00Zhttps://e-mfp.org/wp-content/uploads/v16n2-CR-Diagnosis-of-Ankylosing-Spondylitis.pdfhttps://doaj.org/toc/1985-2274Background: A diagnosis of ankylosing spondylitis (AS) is challenging and often delayed despitebpatients being symptomatic. Low back pain is the most common initial symptom, appearing in the second and third decades of life. Acute anterior uveitis (AAU) occurs much later in the course of the disease, often when the destruction of the spine is already debilitating. Objective: Here, we report three cases of AS that were diagnosed after the patients developed AAU. Methods: A case series illustrated AAU leading to the diagnosis of AS years after the initial episode of low back pain. A comparison of the clinical presentation, diagnosis, and outcomes was also illustrated. Result: We report three cases of acute anterior uveitis (AAU)-associated AS diagnosed only after many visits to the primary health care provider with the complaint of chronic low back pain. All three patients had irreversible radiological changes upon diagnosis of AS. The AAU resolved with topical steroids, and one patient developed cataract. Conclusion: A high index of suspicion of AS in a young adult with chronic back pain before the development of AAU may prevent further functional loss and provide a better prognosis. Diagnosis of AS following AAU is not only associated with dependency but also may rob the vision of a young adult.Chew Chia CheeChin Ju JuenWan Hazabbah Wan HitamChong Mei FongLiza-Sharmini Ahmad TajudinAcademy of Family Physicians of Malaysiaarticlelow back painankylosing spondylitisanterior uveitis good health and well beingMedicineRENMalaysian Family Physician, Vol 16, Iss 2, Pp 73-77 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	low back pain ankylosing spondylitis anterior uveitis good health and well being Medicine R
spellingShingle	low back pain ankylosing spondylitis anterior uveitis good health and well being Medicine R Chew Chia Chee Chin Ju Juen Wan Hazabbah Wan Hitam Chong Mei Fong Liza-Sharmini Ahmad Tajudin Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye
description	Background: A diagnosis of ankylosing spondylitis (AS) is challenging and often delayed despitebpatients being symptomatic. Low back pain is the most common initial symptom, appearing in the second and third decades of life. Acute anterior uveitis (AAU) occurs much later in the course of the disease, often when the destruction of the spine is already debilitating. Objective: Here, we report three cases of AS that were diagnosed after the patients developed AAU. Methods: A case series illustrated AAU leading to the diagnosis of AS years after the initial episode of low back pain. A comparison of the clinical presentation, diagnosis, and outcomes was also illustrated. Result: We report three cases of acute anterior uveitis (AAU)-associated AS diagnosed only after many visits to the primary health care provider with the complaint of chronic low back pain. All three patients had irreversible radiological changes upon diagnosis of AS. The AAU resolved with topical steroids, and one patient developed cataract. Conclusion: A high index of suspicion of AS in a young adult with chronic back pain before the development of AAU may prevent further functional loss and provide a better prognosis. Diagnosis of AS following AAU is not only associated with dependency but also may rob the vision of a young adult.
format	article
author	Chew Chia Chee Chin Ju Juen Wan Hazabbah Wan Hitam Chong Mei Fong Liza-Sharmini Ahmad Tajudin
author_facet	Chew Chia Chee Chin Ju Juen Wan Hazabbah Wan Hitam Chong Mei Fong Liza-Sharmini Ahmad Tajudin
author_sort	Chew Chia Chee
title	Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye
title_short	Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye
title_full	Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye
title_fullStr	Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye
title_full_unstemmed	Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye
title_sort	diagnosis of ankylosing spondylitis: do not let the spine bites the eye
publisher	Academy of Family Physicians of Malaysia
publishDate	2021
url	https://doaj.org/article/ea80e0ae371e44ae98f125c8fb9fcd8a
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Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye

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