| Undifferentiated spondyloarthropathy is a group of Spondyloarthropathies clinical and radiological manifestations, but does not meet any of the current established spondyloarthropathies. Refer to the axis of such diseases, and (or) peripheral joint involvement with a tendency of familial aggregation, serum rheumatoid factor (RF) and HLA-B27 negative, and was characterized by varying degrees, a group of related diseases, to ankylosing spondylitis (AS) as the prototype, Also includes undifferentiated spondyloarthropathy (uSpA), psoriatic arthritis (PsA), reactive arthritis (ReA), inflammatory bowel disease arthritis (IBDA) and so on. uSpA is spondyloarthropathies one of the most common types. Objective:Undifferentiated spondyloarthropathy of the clinical features and follow-up. Methods:86 cases uSpA patients, both male and female groups, respectively, from the age of onset, initial symptoms, clinical manifestations, laboratory examinations and other stratified comparison.86 cases were followed up uSpA,who were successful 42 patients followed up, the time when they were following betwteen 0.5 years and 9 years, In this study,42 patients were followed up successfully to carry on the grouping, who developed psoriatic arthritis patients except for one patient,who were divided into two groups, one group of 15 patients diagnosed AS group, the other is still present and uSpA Complete remission (non-AS group) 26 cases, respectively, from the first symptom, clinical manifestations, laboratory examinations and other stratified comparison. Results:1. Male:female patients was 2.54:1, males were significantly higher than females.2. uSpA clinical features of inflammatory back to (or spinal) pain, lower limbs were more common non-symmetric synovitis, followed by sausage toe (finger), attachment points lesions, alternating buttock area pain. The female patients had got inflammatory waist (or spinal) pain, sausage toe (finger) was significantly higher than males between male and female. Male patients with lower limb non-symmetric synovitis, incidence of disease attachment of are higher than female.3. uSpA 38.4% of patients with inflammatory back (or spine) pain are the first appearing, the most manfest in clinic. Male and female comparisons, female inflammatory waist (or spinal) pain onset were significantly higher than that of starting male, female with hip area pain, ankle swelling and pain onset were significantly higher than that of female starting.4. HLA-B27positive rate of male who come on uSpA patients are higher than female.5.86 cases were followed up uSpA,who were successful 42 patients followed up, the time when they were following betwteen 0.5 years and 9 years, of which 15 cases (36%) have developed AS, there are 16 cases (38%) still uSpA; After 10 cases (24%) accept the therapy,whose symptoms completely disappeare; one patient (2%) develops psoriatic arthritis. AS patients developed 15 cases, which change four cases during three years,27% (23 cases),continute three to six years in 5 cases,33%(11 cases); 6-9 years of which 6 cases, accounting for 40%(8 cases).6. uSpA patients in the hip joint as the first symptoms are easy to develop AS, with 33.3% in the hip joint as the first development of AS are possible.7. uSpA patients in the hip joint, attachment and easy development of lesions in patients with AS, respectively 53.3%,66.7%, of which attached to the point lesions, especially those with heel pain patients tend to develop AS,53.3%Conclusion1.uSpA male incidence rate was significantly higher than female.2.Lower limb asymmetry for the early onset of arthritis, inflammatory back (or spine)pain, sausage toe (finger) patients, as early as possible test HLA-B27, sacroiliac joint CT help with the clinical evaluation.3. Some uSpA patients developed ankylosing spondylitis should be followed up.4. In the hip joint as the first symptom is apt to develop AS, the clinical manifestations of pathological attachment points, particularly the development of heel pain patients tend to AS... |
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