A study of clinical profile in female spondyloarthropathy
DOI:
https://doi.org/10.15305/ijrci/v7i1/317Abstract
Objective: To assess the clinical features of SpA including BATH indices and to compare clinical data of male and female spondyloarthropathy patients.
Methods: The study included male and female patients (60 each) fulfilling the European Spondyloarthropathy Study Group (ESSG) or assessment of ankylosing spondylitis (ASAS) criteria for SpA and the CASPER criteria for PsA or the modified New York criteria for AS. The subjects completed initial clinical evaluation and radiological and laboratory assessment.
Results: The mean age of presentation was found to be higher in females (34.6± 9.6 years). Backache was the most common features identified in both the groups. Peripheral arthritis was present in 51.7% of total patients (56.7% males and 46.7% females). Asymmetrical lower limb arthritis was found to be more predominant; however, 10% of the patients reported involvement of wrist. Psoriasis and inflammatory bowel disease, and uveitis were noted in 13 (7 males and 6 females), three (1 male and 2 females) and 14 patients (9 males and 5 females) respectively. Dorsal and neck pain were frequently prevalent among the patients.
Conclusion: Though the severity of symptoms and disability are comparable across both the genders, females have increasingly been diagnosed with SpA. Most common symptom of presentation is low back pain followed by gluteal pain. Peripheral arthritis, predominantly lower limb oligoarthritis is common in Indian population when compared to their western counterparts.
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