Clinical and Epidemiological Aspects of Ankylosing Spondylitis Patients in a Single Center in Baghdad

Ankylosing spondylitis is a chronic inflammatory disease with axial involvement but also may present as a peripheral arthritis and extraarticular manifestations. Objective: To assess clinical aspects of ankylosing spondylitis patients and different associated demographic variables in Baghdad teac...

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Main Author: Ali Hussein Al Hafidh
Format: Article
Language:English
Published: middle technical university 2022-03-01
Series:Journal of Techniques
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Online Access:https://journal.mtu.edu.iq/index.php/MTU/article/view/439
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author Ali Hussein Al Hafidh
author_facet Ali Hussein Al Hafidh
author_sort Ali Hussein Al Hafidh
collection DOAJ
description Ankylosing spondylitis is a chronic inflammatory disease with axial involvement but also may present as a peripheral arthritis and extraarticular manifestations. Objective: To assess clinical aspects of ankylosing spondylitis patients and different associated demographic variables in Baghdad teaching hospital. Patients and methods: A cross-sectional study was carried out in Baghdad teaching hospital which includes 402 patients (≥ 18 years old) with a clinical diagnosis of AS according to Assessment of Spondylo Arthritis International Society for AS were involved in this study from June/2019 to June/2021. Demographic data and disease characteristics, presence of extra-articular manifestations (past and present) and measurement of disease activity was done by BASDAI, erythrocyte sedimentation rate (mm/h) and C-reactive protein (mg/L). In addition, HLAB27 typing was reported. Results: The age of onset for males was 24.87±8.8 and for females25.97±8.6 years, HLA typing HLA-B27 were 49.55% and 35.38% in males and females respectively and the association was found to be statistically significant (P. value =0.031).  While family history was reported at 25.82% and 34.33% in males and females correspondingly. 75.07% of males compared to 71.38% of females were treated with Anti TNF therapy. Females had later onset of disease than males with lower percentage of HLA B27 positivity. Recommendation: more comprehensive assessment with advanced diagnostic and treatment standards.
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spelling doaj-art-07642d64ebbd44aab715390b3b284d492025-01-19T11:07:18Zengmiddle technical universityJournal of Techniques1818-653X2708-83832022-03-014110.51173/jt.v4i1.439Clinical and Epidemiological Aspects of Ankylosing Spondylitis Patients in a Single Center in BaghdadAli Hussein Al Hafidh0College of health and Medical Technology, Middle Technical University, Baghdad, Iraq Ankylosing spondylitis is a chronic inflammatory disease with axial involvement but also may present as a peripheral arthritis and extraarticular manifestations. Objective: To assess clinical aspects of ankylosing spondylitis patients and different associated demographic variables in Baghdad teaching hospital. Patients and methods: A cross-sectional study was carried out in Baghdad teaching hospital which includes 402 patients (≥ 18 years old) with a clinical diagnosis of AS according to Assessment of Spondylo Arthritis International Society for AS were involved in this study from June/2019 to June/2021. Demographic data and disease characteristics, presence of extra-articular manifestations (past and present) and measurement of disease activity was done by BASDAI, erythrocyte sedimentation rate (mm/h) and C-reactive protein (mg/L). In addition, HLAB27 typing was reported. Results: The age of onset for males was 24.87±8.8 and for females25.97±8.6 years, HLA typing HLA-B27 were 49.55% and 35.38% in males and females respectively and the association was found to be statistically significant (P. value =0.031).  While family history was reported at 25.82% and 34.33% in males and females correspondingly. 75.07% of males compared to 71.38% of females were treated with Anti TNF therapy. Females had later onset of disease than males with lower percentage of HLA B27 positivity. Recommendation: more comprehensive assessment with advanced diagnostic and treatment standards. https://journal.mtu.edu.iq/index.php/MTU/article/view/439Ankylosing SpondylitisGenderHLA B27 PositivityUveitisDisease Activity
spellingShingle Ali Hussein Al Hafidh
Clinical and Epidemiological Aspects of Ankylosing Spondylitis Patients in a Single Center in Baghdad
Journal of Techniques
Ankylosing Spondylitis
Gender
HLA B27 Positivity
Uveitis
Disease Activity
title Clinical and Epidemiological Aspects of Ankylosing Spondylitis Patients in a Single Center in Baghdad
title_full Clinical and Epidemiological Aspects of Ankylosing Spondylitis Patients in a Single Center in Baghdad
title_fullStr Clinical and Epidemiological Aspects of Ankylosing Spondylitis Patients in a Single Center in Baghdad
title_full_unstemmed Clinical and Epidemiological Aspects of Ankylosing Spondylitis Patients in a Single Center in Baghdad
title_short Clinical and Epidemiological Aspects of Ankylosing Spondylitis Patients in a Single Center in Baghdad
title_sort clinical and epidemiological aspects of ankylosing spondylitis patients in a single center in baghdad
topic Ankylosing Spondylitis
Gender
HLA B27 Positivity
Uveitis
Disease Activity
url https://journal.mtu.edu.iq/index.php/MTU/article/view/439
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