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Ankylosing Spondylitis
       Presented by
   Christopher Beckman
Program Director, Athletes Joined
      Against Spondylitis
Basic      • A non-rheumatoid
             inflammatory arthritis in
Overview     which the joints of the
             spine, particularly the
             lower back, become
             inflamed and painful
           • Inflammation causes new
             bone to grow
             • Fuses the vertebrae
               together
                • Restricts flexibility and
                  movement.
           • Ankylosis means
             "fusion," and spondyl
             means "vertebra."
Overview   • Ankylosing spondylitis
             affects the sacroiliac
Contd        joints (where the spine
             joins the pelvis)
             • Can progress to involving
               the joints where the ribs
               attach to the spine and
               many other organs as well
• Lower back and hip pain
Symptoms     and stiffness that persists
             for three or more months
             • Pain and stiffness in
               morning
             • Gets better after exercise,
               worse after rest
           • Fatigue, fever and loss of
             appetite and weight
Symptoms   • About 1 in 4 people get
Contd        inflammation of the eye,
             or iritis
           • Swollen joints; this
             symptom is
             indistinguishable from
             rheumatoid arthritis
Demographics
• Mainly afflicts men between the ages of 14
  and 35
• There is no cure
Treatment   • Medication helps to
              relieve pain and stiffness
            • Surgery is sometimes
              done but still doesn’t
              cure it, it just restores
              movement to the joints
• No test to positively
Diagnosis     diagnose it
            • Doctor tests for spinal
              inflammation and the
              presence of HLA-B27
              which are major signs of
              AS
• Typically NSAIDs (non-
Medication     steroidal anti-inflammatory
               drugs) and TNFs (Tumor
               Necrosis Factor)
               • Most effective is
                 Indomethacin
             • Another drug is
               Sulphasalazine
               (Salazopyrin)
             • NSAIDs control disease
               activity
             • Most medications are very
               expensive
• AS can progress to
Complications   involve the ribs, which
                can make it difficult to
                breath
              • Smoking increases AS
                severity 400%
                  • 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 • A non-rheumatoid inflammatory arthritis in Overview which the joints of the spine, particularly the lower back, become inflamed and painful • Inflammation causes new bone to grow • Fuses the vertebrae together • Restricts flexibility and movement. • Ankylosis means "fusion," and spondyl means "vertebra."
  • 3. Overview • Ankylosing spondylitis affects the sacroiliac Contd joints (where the spine joins the pelvis) • Can progress to involving the joints where the ribs attach to the spine and many other organs as well
  • 4. • Lower back and hip pain Symptoms and stiffness that persists for three or more months • Pain and stiffness in morning • Gets better after exercise, worse after rest • Fatigue, fever and loss of appetite and weight
  • 5. Symptoms • About 1 in 4 people get Contd inflammation of the eye, or iritis • Swollen joints; this symptom is indistinguishable from rheumatoid arthritis
  • 6. Demographics • Mainly afflicts men between the ages of 14 and 35
  • 7. • There is no cure Treatment • Medication helps to relieve pain and stiffness • Surgery is sometimes done but still doesn’t cure it, it just restores movement to the joints
  • 8. • No test to positively Diagnosis diagnose it • Doctor tests for spinal inflammation and the presence of HLA-B27 which are major signs of AS
  • 9. • Typically NSAIDs (non- Medication steroidal anti-inflammatory drugs) and TNFs (Tumor Necrosis Factor) • Most effective is Indomethacin • Another drug is Sulphasalazine (Salazopyrin) • NSAIDs control disease activity • Most medications are very expensive
  • 10. • AS can progress to Complications involve the ribs, which can make it difficult to breath • Smoking increases AS severity 400% • Works in tandem with rib fusion to severely restrict breathing which can ultimately lead to death due to lack of oxygen