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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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
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Cme
Online Access:https://samajournals.co.za/index.php/samj/article/view/2668
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author A B Maharaj
R Benitha
K Makan
R du Toit
D Haasbroek
C Balton
P Govender
M van Dam
F Paruk
B Hodkinson
author_facet A B Maharaj
R Benitha
K Makan
R du Toit
D Haasbroek
C Balton
P Govender
M van Dam
F Paruk
B Hodkinson
author_sort A B Maharaj
collection DOAJ
description 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.
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publishDate 2024-10-01
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series South African Medical Journal
spelling doaj-art-bd1fe0a078de404badc39514cff3e5f12025-02-10T12:25:35ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-10-011141010.7196/SAMJ.2024.v114i10.2668South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritisA B Maharaj0R Benitha1K Makan2R du Toit3D Haasbroek4C Balton5P Govender6M van Dam7F Paruk8B Hodkinson9Department of Internal Medicine and Pharmacology, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South AfricaLife Wilgeheuwel Hospital, Johannesburg, South AfricaDepartment of Medicine, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South AfricaDivision of Rheumatology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaLife Fourways Hospital, Johannesburg, South AfricaDepartment of Rheumatology, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Medicine, Helen Joseph Hospital, University of the Witwatersrand, Johannesburg, South AfricaAxial Spondyloarthritis Association of South Africa, Johannesburg, South AfricaAhmed Al-Kadi Private Hospital, Durban, South AfricaDivision of Rheumatology, Department of Medicine, Groote Schuur Hospital, University of Cape Town, South Africa 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. https://samajournals.co.za/index.php/samj/article/view/2668Cme
spellingShingle A B Maharaj
R Benitha
K Makan
R du Toit
D Haasbroek
C Balton
P Govender
M van Dam
F Paruk
B Hodkinson
South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis
South African Medical Journal
Cme
title South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis
title_full South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis
title_fullStr South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis
title_full_unstemmed South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis
title_short South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis
title_sort south african rheumatism and arthritis association 2024 guidelines for the management of axial spondyloarthritis
topic Cme
url https://samajournals.co.za/index.php/samj/article/view/2668
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