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首页> 外文期刊>Nature clinical practice. Rheumatology >A case of axial undifferentiated spondyloarthritis diagnosis and management.
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A case of axial undifferentiated spondyloarthritis diagnosis and management.

机译：一例轴向未分化型脊柱关节炎的诊断和处理。

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BACKGROUND: A 32-year-old white man presented with features of inflammatory back pain, including awakening at night and morning stiffness. He had acute back pain 4 years earlier as a result of a herniated lumbar disc. INVESTIGATIONS: The orthopedic consultation included tests for neurologic deficits; a Lasegue test; a finger-to-floor distance test; X-rays of the lumbar spine; and MRI of the lumbar spine. The rheumatologic consultation included recordal of clinical history and family history; physical examination, including a Schober's test, lateral spine flexion, chest expansion, cervical rotation, and tragus-to-wall distance; blood tests, including genotyping for human leukocyte antigen B27 positivity, and measurements of C-reactive protein level and erythrocyte sedimentation rate; MRI of the sacroiliac joints with use of short tau inversion recovery sequences; and measurement of the Bath Ankylosing Spondylitis Disease Activity Index and the Bath Ankylosing Spondylitis Functional Index. DIAGNOSIS: Axial undifferentiated spondyloarthritis. MANAGEMENT: NSAIDs and physiotherapy.
机译：背景：一名32岁的白人表现出炎性背痛的特征，包括在夜间和早晨僵硬时醒来。由于腰椎间盘突出，他在4年前患有急性背痛。调查：骨科咨询包括神经功能缺损的检查;拉塞格测验;手指到地板的距离测试;腰椎X光片;和腰椎的MRI。风湿病咨询包括临床病史和家族病史的记录;体格检查，包括Schober测试，脊柱外侧弯曲，胸部扩张，颈椎旋转和耳屏距离。血液检查，包括人类白细胞抗原B27阳性的基因分型，以及C反应蛋白水平和红细胞沉降率的测量;使用短头倒置恢复序列进行sa关节的MRI;浴强直性脊柱炎疾病活动指数和浴强直性脊柱炎功能指数的测定。诊断：轴性未分化脊椎关节炎。管理：非甾体抗炎药和理疗。

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