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Classification Criteria in Axial Spondyloarthritis: What Have We Learned; Where Are We Going?

Hayward, RJ; Machado, PM; (2020) Classification Criteria in Axial Spondyloarthritis: What Have We Learned; Where Are We Going? Rheumatic Disease Clinics of North America , 46 (2) pp. 259-274. 10.1016/j.rdc.2020.01.008. Green open access

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Abstract

Axial spondyloarthritis (axSpA) is a chronic inflammatory condition that can present with either radiographic changes or without. / Historically there was the requirement for radiographic changes, whereas the updated classifications incorporate clinical manifestations, family history, response to therapy, MRI, and genetic and laboratory findings. / Classification criteria have progressed in line with scientific advances incorporating the utility of MRI to identify inflammatory changes to the sacroiliac joint before radiographic changes. / The ASAS classification criteria are the most relevant criteria set that increase the scope and parameters. They have facilitated SpA research, including epidemiology, outcomes research, and treatment. / Clinical judgment remains the mainstay for diagnosis of axSpA. Physicians should not misuse classification criteria, avoiding their use before a clinical diagnosis is made.

Type: Article
Title: Classification Criteria in Axial Spondyloarthritis: What Have We Learned; Where Are We Going?
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.rdc.2020.01.008
Publisher version: https://doi.org/10.1016/j.rdc.2020.01.008
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Ankylosing spondylitis, Axial spondyloarthritis, Back pain, Classification, Diagnosis, Inflammation, Magnetic resonance imaging, Radiographs
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Department of Neuromuscular Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10096699
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