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Information Journal Paper

Title

ANKYLOSING SPONDYLITIS IN IRAN, LATE DIAGNOSIS AND ITS CAUSES

Pages

  1-6

Abstract

 Background: ANKYLOSING SPONDYLITIS (AS) is a chronic destructive and inflammatory disease of the axial skeleton manifested by BACK PAIN and progressive stiffness of the spine.Objectives: The aim of the present cross-sectional study was to evaluate and identify factors leading to DELAYED DIAGNOSIS of AS in Iranian patients.Patients and Methods: Sixty patients, (53 male, 7 female) with a diagnosis of AS according to the modified New York criteria were recruited. Diagnosis delay was defined as the interval between a patient's first spondyloarthritic symptoms [inflammatory BACK PAIN (IBP), inflammatory arthritis, enthesopathy and uveitis] and a correct diagnosis of AS.Results: The average age of patients at diagnosis of AS was 36.4±4.5 years and the average of delay in diagnosis was 6.2±3.5 years. The most common diagnosis at the first visit was disc herniation (68.3%). Delay in diagnosis of Human Leukocyte Antigen (HLA-B27) positive and negative patients were 4.6±2.2 years and 10.1±3.2 years, respectively (P=0.0001). Diagnosis delay in patients with morning stiffness and IBP were significantly shorter than that of patients without these symptoms (P=0.0001 and P=0.001 respectively). Patients with uveitis had the shortest diagnosis delay (P=0.02). The Bath ANKYLOSING SPONDYLITIS disease activity index (BASDAI) was not significantly different in early (<3years) and late (>3years) diagnosis (3.3±0.9 and 3.6±0.7 respectively) (P=0.18), but the Both ANKYLOSING SPONDYLITIS functional index (BASFI) was significantly different between them (3.3±1.0 and 4.1±0.7 respectively) (P=0.001).Conclusions: In this study, delay in diagnosis was similar to other studies. Educating physicians to careful history taking especially in the case of IBP, non-musculoskeletal symptoms such as uveitis and precise physical examination are important in early diagnosis.

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    APA: Copy

    HAJIALILO, MEHRZAD, GHORBANIHAGHJO, AMIR, KHABBAZI, ALIREZA, KOLAHI, SUOSAN, & RASHTCHIZADEH, NADEREH. (2014). ANKYLOSING SPONDYLITIS IN IRAN, LATE DIAGNOSIS AND ITS CAUSES. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 16(4), 1-6. SID. https://sid.ir/paper/292510/en

    Vancouver: Copy

    HAJIALILO MEHRZAD, GHORBANIHAGHJO AMIR, KHABBAZI ALIREZA, KOLAHI SUOSAN, RASHTCHIZADEH NADEREH. ANKYLOSING SPONDYLITIS IN IRAN, LATE DIAGNOSIS AND ITS CAUSES. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2014;16(4):1-6. Available from: https://sid.ir/paper/292510/en

    IEEE: Copy

    MEHRZAD HAJIALILO, AMIR GHORBANIHAGHJO, ALIREZA KHABBAZI, SUOSAN KOLAHI, and NADEREH RASHTCHIZADEH, “ANKYLOSING SPONDYLITIS IN IRAN, LATE DIAGNOSIS AND ITS CAUSES,” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 16, no. 4, pp. 1–6, 2014, [Online]. Available: https://sid.ir/paper/292510/en

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