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Doctor insights on: Juvenile Spondyloarthropathy

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Is there a cure for spondyloarthropathy?

Is there a cure for spondyloarthropathy?

No cure,remission: There is no cure per se for spondyloarthropathy, but there is excellent treatment and some treatments can lead to remission. My wife has a spondyloarthropathy and is in remission on Enbrel (etanercept) (enterecept). See a board certified Rheumatologist. ...Read more

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Are the essg and amor criteria charts the generally accepted diagnostic tool for spondyloarthropathy?

Are the essg and amor criteria charts the generally accepted diagnostic tool for spondyloarthropathy?

Partly: These are excellent tools. Spondyloarthropathy is diagnosed primarily by history and physical exam. X-rays and MRI can help but may not detect early disease. The hla-b27 blood test needs to be interpreted with caution as it does not prove or disprove the diagnosis of spondyloarthropathy by itself. ...Read more

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Positive for hla-b27.This procedure rules out the b27:06 & 27:09 alleles which lit suggests arent associated w/ spondyloarthropathies.What this mean?

Positive for hla-b27.This procedure rules out the b27:06 & 27:09 alleles which lit suggests arent associated w/ spondyloarthropathies.What this mean?

Spondyloarthritis: Hlab27 is a generic marker that is in 8% of the caucasian population. Many people with diseased called spondyloarthropathies (ankylosing spondylitis, psoriatic arthritis, and crohns/uc related arthritis) will have a positive b27, but not all those with b27 will develop issues (in fact, the vast majority don't). The larger question is are the symptoms consistent with spondyloarthropathy. ...Read more

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29 yr old male, undifferentiated spondyloarthropathy, 6 weeks on humira (adalimumab) (biweekly) so far very successful treatmen. Is methotrexate necessary? Evidence?

29 yr old male, undifferentiated spondyloarthropathy, 6 weeks on humira (adalimumab) (biweekly) so far very successful treatmen. Is methotrexate necessary? Evidence?

Maybe Not: Methotrexate does not work very well for spondyloarthropathies, but there is a chance that it would reduce the odds of developing drug-inactivating antibodies against the humira (adalimumab). In any case, discuss any medication changes with the prescribing md before proceeding. ...Read more

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My doctor said me that i am suffering from seronegative spondyloarthropathy. My crp is high 27. My hla-b27 report is also positive.

My doctor said me that i am suffering from seronegative spondyloarthropathy.  My crp is high 27. My hla-b27 report is also positive.

The question?: I don't understand what you would like us to do with the statement. It appears that you do have an inflammatory type of arthritis however. Best to consult a rheumatologist. ...Read more

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Can a knee or ankle MRI without contrast show rheumatoid arthritis? Or spondyloarthropathy?

Can a knee or ankle MRI without contrast show rheumatoid arthritis? Or spondyloarthropathy?

Can indicate: Mri of knee or ankle joint may shows signs of arthritis (fluid, synovitis, cartilage lost, erosions) but these signs are not specific for rheumatoid arthritis. Ra is diagnosed by blood tests and clinical history as is spondyloarthropathy. ...Read more

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What is the difference between psoriatic arthritis and spondyloarthrapathy? I'm hla b-27 positive

What is the difference between psoriatic arthritis and spondyloarthrapathy? I'm hla b-27 positive

Almost the same: Many people with psoriatic arthritiw have back problems similar to classic ankylosing spondylitis. The meds used for these are the same and include sulfasalazine, methotrexate, biologics including humira, remicade, (infliximab) etc. Occasionally the arthritis goes into remission (stops) if the skin is cleared, but this isn't common. Nonsteroids such as indomethecin are quite helpful. ...Read more

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If my kidney failure leads to haemodialysis, are there some nsaids filtrated by the dialysis machine (and so used to relieve spondylarthropathy pain)?

If my kidney failure leads to haemodialysis, are there some nsaids filtrated by the dialysis machine (and so used to relieve spondylarthropathy pain)?

The: Dangers on nsaida are gastric ulcer and renal insufficiency, the later not a issue because you are on dialysis. (not so with transplant) so you probably could take, remember other tx for your arthritis are available. ...Read more