-
Practice Guideline
South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis.
- B Hodkinson, A B Maharaj, R Benitha, K Makan, Du ToitRRDivision of Rheumatology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., D Haasbroek, C Balton, P Govender, M Van Dam, and F Paruk.
- Department of Internal Medicine and Pharmacology, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa.
- S. Afr. Med. J. 2024 Oct 3; 114 (10): e2668e2668.
AbstractEarly diagnosis and prompt treatment initiation are essential in the management of axial spondyloarthritis (axSpA), also known as ankylosing spondylitis, remembering that underdiagnosis and overdiagnosis of axSpA are common. These South African guidelines offer screening tools and details of useful investigations, including imaging. Care of the axSpA patient requires a multidisciplinary holistic approach emphasising lifestyle interventions, particularly exercise, smoking cessation and psychosocial support. The ankylosing spondylitis disease activity score is recommended as a measure of disease activity, and a stepwise algorithm for therapy is provided. Screening for comorbidities and vaccination is advised.
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