Otras espondiloartritis

Abstract

Spondyloarthritis (SpA) conditions include axial and peripheral SpA. However, there are others such as reactive arthritis (ReA), arthritis conditions linked to inflammatory bowel disease (IBD) or synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome; these are common in rheumatology consultations, although less frequent than cases of ankylosing spondylitis (AS) or psoriatic arthritis (PsA). These conditions can present with either axial or peripheral signs and symptoms, and with extra-articular such as, ophthalmological or cutaneous manifestations. The most frequent form of ReA presentation is oligoarthritis of the lower limbs, with axial involvement being more infrequent. In IBD-associated arthropathy, symptoms can appear at any level. Axial symptoms predominate in SAPHO syndrome. Diagnosis is principally based on the symptoms and radiological findings, without any unanimous diagnostic criteria. For joint symptoms, the first line of treatment is non-steroidal anti-inflammatory drugs, although with restrictions in the case of IBD-associated arthropathy, with the use of systemic or local corticoids also being possible (systemic corticoids should not be used if there is axial involvement). If the first line of treatment is not successful, the treatment indicated is disease-modifying drugs such as sulfasalazine and, if necessary, biological drugs (especially anti-tumour necrosis factor —TNF— therapy); these have been used in these pathologies with varied responses.