南非风湿病与关节炎协会 2024 年轴向脊柱关节炎治疗指南。

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Samj South African Medical Journal Pub Date : 2024-10-03 DOI:10.7196/SAMJ.2024.v114i10.2668

B Hodkinson, A B Maharaj, R Benitha, K Makan, R Du Toit, D Haasbroek, C Balton, P Govender, M Van Dam, F Paruk, B Hodkinson

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引用次数: 0

摘要

早期诊断和及时治疗对于轴性脊柱关节炎（axSpA）（又称强直性脊柱炎）的治疗至关重要，因为轴性脊柱关节炎诊断不足和诊断过度的情况很常见。这些南非指南提供了筛查工具和有用检查的详细信息，包括影像学检查。轴索硬化症患者的护理需要采用多学科综合方法，强调生活方式干预，尤其是运动、戒烟和社会心理支持。建议使用强直性脊柱炎疾病活动度评分来衡量疾病活动度，并提供了逐步治疗的算法。建议进行合并症筛查和疫苗接种。

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South African Rheumatism and Arthritis Association 2024 guidelines for the management of axial spondyloarthritis.

Early 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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来源期刊

Samj South African Medical Journal 医学-医学：内科

CiteScore

3.00

自引率

4.50%

发文量

175

审稿时长

4-8 weeks

期刊介绍： The SAMJ is a monthly peer reviewed, internationally indexed, general medical journal. It carries The SAMJ is a monthly, peer-reviewed, internationally indexed, general medical journal publishing leading research impacting clinical care in Africa. The Journal is not limited to articles that have ‘general medical content’, but is intending to capture the spectrum of medical and health sciences, grouped by relevance to the country’s burden of disease. This will include research in the social sciences and economics that is relevant to the medical issues around our burden of disease The journal carries research articles and letters, editorials, clinical practice and other medical articles and personal opinion, South African health-related news, obituaries, general correspondence, and classified advertisements (refer to the section policies for further information).