[Sacroiliitides in the German armed forces : Axial spondyloarthritis as a differential diagnosis for chronic back pain among young soldiers].

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Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-07-07 DOI:10.1007/s00132-025-04673-0

Sebastian Klapa

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Abstract

Background: Axiale Spondyloarthritis (axSpA) is one of the most frequent rheumatic diseases among young adults.

Objectives: Determination of the current recommendations for diagnosing and treating axSpA, discussion of the clinical relevance and situation of soldiers with axSpA in the German armed forces.

Materials and methods: Evaluation of national and international guidelines and literature review.

Results: AxSpA might be one of the most common underlying rheumatic diseases requiring treatment and is predicted to be an important differential diagnosis of chronic back pain in soldiers in the German armed forces. Early termination of deployment and possible premature termination of military service are associated with chronic back pain. Currently, axSpA is related to limited serviceability. New specific therapies can prevent impending service disability at an early stage.

Conclusion: Early diagnosis and treatment are essential to counteract reduced serviceability.

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[骶髂关节炎在德国武装部队：轴性脊柱炎作为年轻士兵慢性背痛的鉴别诊断]。

背景：轴性脊柱炎（axSpA）是青壮年人群中最常见的风湿性疾病之一。目的：确定目前诊断和治疗axSpA的建议，讨论德国武装部队axSpA士兵的临床相关性和情况。材料和方法：评价国内和国际指南和文献综述。结果：AxSpA可能是最常见的需要治疗的潜在风湿病之一，预计将成为德国武装部队士兵慢性背痛的重要鉴别诊断。早期终止部署和可能过早终止兵役与慢性背痛有关。目前，axSpA与有限的可服务性有关。新的特殊疗法可以在早期阶段预防即将发生的服役残疾。结论：早期诊断和治疗是预防功能下降的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Orthopadie (Heidelberg, Germany)

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