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March 15, 1965

Ankylosing (Rheumatoid) Spondylitis

Author Affiliations

From the Division of Rheumatology, Henry Ford Hospital, Detroit, Mich (Drs. Sigler, Ensign, Bluhm, and Duncan), and Holbrook-Hill Medical Group, Tucson, Ariz (Dr. Hill).

JAMA. 1965;191(11):910-912. doi:10.1001/jama.1965.03080110034007

The purpose of the exhibit was to emphasize the salient features, subtle signs, and management of anklyosing spondylitis. Usually spondylitis is easily recognized in advanced stages, but if deformity is to be minimized, early detection is essential. Prompt institution of a comprehensive program of management will do much to preserve functional posture.

Diagnosis  Spondylitis should be suspected in the presence of the following symptoms: recurrent low back pain (frequently nocturnal), alternating right- and left-sided sciatic pain, morning stiffness and soreness in the back, restriction of chest expansion, or girdle or peripheral joint synovitis. Hip, shoulder, and peripheral joint synovitis commonly occur and frequently are overlooked as manifestations of ankylosing spondylitis. Ankylosing spondylitis occurs in both sexes, males preponderating 7:1.In mild disease there is usually no systemic disturbance. In more severe illness, fever, fatigue, anorexia, and weight loss are often present. The most frequent complication of ankylosing spondylitis is iritis,

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