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

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 us...

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Bibliographic Details
Main Authors: A B Maharaj, R Benitha, K Makan, R du Toit, D Haasbroek, C Balton, P Govender, M van Dam, F Paruk, B Hodkinson
Format: Article
Language:English
Published: South African Medical Association 2024-10-01
Series:South African Medical Journal
Subjects:
Cme
Online Access:https://samajournals.co.za/index.php/samj/article/view/2668
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Summary: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.
ISSN:0256-9574
2078-5135