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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1005978PMC
http://dx.doi.org/10.1136/ard.31.6.474DOI Listing

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Introduction: Ankylosing spondylitis (AS) is a chronic inflammatory disorder that primarily affects the spine and sacroiliac joints, leading to pain, stiffness, and progressive thoracolumbar kyphotic deformity. A key complication in advanced AS is the development of Andersson lesions (AL), degenerative vertebral lesions resulting from the disease's progression. These lesions can cause significant mechanical pain, often mistaken for the chronic discomfort associated with AS.

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Axial Spondyloarthritis (SpA) is a chronic inflammatory disease of the spine associated with the gene HLA-B27. Non-radiographic spondyloarthritis (nr-SpA), an early stage of axial SpA often goes unrecognized in many settings including the Philippines. We describe five Filipinos from a tertiary health care facility who fulfill the Assessment of SpondyloArthritis International Society (ASAS) 2009 criteria for non-radiographic SpA with the aim of increasing awareness of this disease in the Philippines.

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Purpose: To examine whether incorporating anatomy-centred deep learning can improve generalisability and enable prediction of disease progression.

Methods: This retrospective multicentre study included conventional pelvic radiographs of four different patient cohorts focusing on axial spondyloarthritis collected at university and community hospitals. The first cohort, which consisted of 1483 radiographs, was split into training (n=1261) and validation (n=222) sets.

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Background: Axial spondyloarthritis (AxSpA) is a chronic rheumatic disease characterized by spine inflammation, abnormal bone growth, and paradoxically osteoporosis and vertebral fractures. The pathogenesis of skeletal deficits in this disease is poorly understood.

Purpose: We sought to evaluate volumetric bone mineral density (vBMD) and bone microarchitecture in patients with AxSpA and to identify disease-related factors associated with skeletal abnormalities.

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Article Synopsis
  • This study investigates the relationship between systemic inflammation and cholesterol levels in early axial spondyloarthritis (axSpA), an area that has not been extensively researched before.* -
  • The research examined 64 patients, finding that higher levels of C-reactive protein (CRP) were associated with lower total cholesterol (TC) and two types of apolipoproteins (ApoA1 and ApoB), especially after adjusting for age, sex, and other factors.* -
  • The results suggest that the "lipid paradox" seen in other inflammatory conditions also applies to early axSpA, highlighting the need to consider lipid levels when assessing cardiovascular disease risk in these patients.*
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