Delayed diagnosis of ankylosing spondylitis in a Japanese population

作者: Yasuharu Nakashima , Masanobu Ohishi , Ken Okazaki , Jun-Ichi Fukushi , Akiko Oyamada

DOI: 10.3109/14397595.2015.1088679

关键词:

摘要: AbstractObjectives: This study was conducted to evaluate the period from symptom onset diagnosis of ankylosing spondylitis (AS) in Japanese patients and examine possible reasons for delayed diagnosis.Methods: Seventy-two consecutive with AS were studied. Diagnostic delay defined as gap between first spondyloarthropathic according modified New York criteria.Results: The mean patient ages at disease 25.6 ± 11.3 33.3 ± 13.2 years old, respectively, resulting diagnostic 6.7 years. number medical institutions which referred before 2.4, orthopedic surgeons most commonly visited (62%). Non-specific low back pain or lumbar (33%) degenerative arthritis (28%) primary diagnoses preceding that AS. Absence articular symptoms significantly correlated delay. on year 2000 later had significant...

参考文章(34)
Matucci-Cerinic M, Generini S, Bandinelli F, Riente L, Delle Sedie A, Candelieri A, Salvadorini G, Bombardieri S, Possemato N, Ankylosing spondylitis: how diagnostic and therapeutic delay have changed over the last six decades. Clinical and Experimental Rheumatology. ,vol. 30, pp. 561- 565 ,(2012)
W Mau, W Stangel, A Majewski, R Mau, J Freyschmidt, H Deicher, H Zeidler, Clinical features and prognosis of patients with possible ankylosing spondylitis. Results of a 10-year followup. The Journal of Rheumatology. ,vol. 15, pp. 1109- 1114 ,(1988)
Ernst Feldtkeller, Muhammad Khan, Désirée van der Heijde, Sjef van der Linden, Jürgen Braun, Age at disease onset and diagnosis delay in HLA-B27 negative vs. positive patients with ankylosing spondylitis Rheumatology International. ,vol. 23, pp. 61- 66 ,(2003) , 10.1007/S00296-002-0237-4
Sinsuke Hukuda, Kanji Shichikawa, Hirofumi Makino, Nobuo Matsui, Hiroshi Mitsui, Takashi Sakou, Michio Minami, Taiho Shibata, Yoshio Komatsubara, Terunobu Saito, Masao Shingu, Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society. The Journal of Rheumatology. ,vol. 28, pp. 554- 559 ,(2001)
Nicole Thom, Christopher T. Ritchlin, Xiao Zhang, John Reveille, Michael H. Weisman, Prevalence of Chronic Axial Pain, Inflammatory Back Pain, and Spondyloarthritis in Diagnosed Psoriasis Arthritis Care and Research. ,vol. 67, pp. 829- 835 ,(2015) , 10.1002/ACR.22528
Sjef Van Der Linden, Hans A. Valkenburg, Arnold Cats, Evaluation of Diagnostic Criteria for Ankylosing Spondylitis Arthritis & Rheumatism. ,vol. 27, pp. 361- 368 ,(1984) , 10.1002/ART.1780270401
Rohit Aggarwal, Anand N. Malaviya, Diagnosis delay in patients with ankylosing spondylitis: factors and outcomes--an Indian perspective. Clinical Rheumatology. ,vol. 28, pp. 327- 331 ,(2009) , 10.1007/S10067-008-1049-Z
Akihiro Yamaguchi, Naoyuki Tsuchiya, Hiroshi Mitsui, Michiko Shiota, Atsuko Ogawa, Katsushi Tokunaga, Sadayoshi Yoshinoya, Takeo Juji, Koji Ito, Association of HLA-B39 with HLA-B27-negative ankylosing spondylitis and pauciarticular juvenile rheumatoid arthritis in Japanese patients. Evidence for a role of the peptide-anchoring B pocket. Arthritis & Rheumatism. ,vol. 38, pp. 1672- 1677 ,(1995) , 10.1002/ART.1780381120
Lawrence H. Brent, Inflammatory arthritis: an overview for primary care physicians. Postgraduate Medicine. ,vol. 121, pp. 148- 162 ,(2009) , 10.3810/PGM.2009.03.1987