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South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis. | LitMetric

AI Article Synopsis

  • - Early diagnosis and treatment of axial spondyloarthritis (axSpA) are crucial due to common issues of underdiagnosis and overdiagnosis, with South African guidelines offering methods for screening and useful investigations.
  • - A multidisciplinary approach to managing axSpA is recommended, focusing on lifestyle changes like exercise, smoking cessation, and psychosocial support.
  • - The ankylosing spondylitis disease activity score is suggested to track disease activity, alongside a stepwise therapy algorithm, and there is advice for screening comorbidities and ensuring vaccinations.

Article Abstract

Early diagnosis and prompt treatment initiation are essential in the management of axial spondyloarthritis (axSpA), also known as ankylosing spondylitis, remembering that underdiagnosis and overdiagnosis of axSpA are common. These South African guidelines offer screening tools and details of useful investigations, including imaging. Care of the axSpA patient requires a multidisciplinary holistic approach emphasising lifestyle interventions, particularly exercise, smoking cessation and psychosocial support. The ankylosing spondylitis disease activity score is recommended as a measure of disease activity, and a stepwise algorithm for therapy is provided. Screening for comorbidities and vaccination is advised.

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Source
http://dx.doi.org/10.7196/SAMJ.2024.v114i10.2668DOI Listing

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