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Arthritis Rheumatol 2019 Oct

2019 Update of the American College of Rheumatology/Spondylitis Association of America/Spondyloarthritis Research and Treatment Network Recommendations for the Treatment of Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis.

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How do you differentiate between axial psoriatic arthritis and axial spondylitis with psoriasis, and is it important to distinguish between these two conditions from a prognostic and treatment perspective?

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Mednet Member
Mednet Member
Rheumatology · Boston University School of Medicine

This is an ongoing controversy in the field(s), with some studies suggesting that clinical differences allow differentiation of axial involvement in psoriatic arthritis from classical ankylosing spondylitis. The concept was recently the topic of a study by Feld and colleagues published in Rheumatolo...

What do you try in patients with IBD-related spondyloarthritis with predominantly axial symptoms who are refractory to TNF inhibitors?

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Mednet Member
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Rheumatology · Boston University School of Medicine

Treating these patients is challenging. It's always good to circle back to first-line therapy recommendations for axial spondyloarthritis and ensure that patients are doing physical therapy or exercise daily. Patients whose IBD is in remission may be able to add a COX-2 selective NSAID (celecoxib), ...