Presentation

• Morning stiffness (> 30 min)
• Alternating buttocks pain
• Pain effectively alleviated by NSAID

Enthesitis

Dactylitis

!Anterior Uveitis

Diagnosis

• ASAS Criteria

Investigation

• ESR (≤ 40 mm/Hr)
• HLA-B27

Consequences

• Bony Fusion

  

Management

• Non-pharmaceutical
  • Smoking cessation Therapy
  • Intentional Weight loss if indicated
  • PT - Physiotherapy
• Pharmaceutical
  1. NSAID
  2. Biologics