“…18 As reportedbefore,childrenwithchronicmedicalconditionsaretwiceas likelytopresentwithsuicideriskthanhealthycontrols. 19 Ontheotherhand,SpAmaycausevision-threateningdiseases, Accurate assessment is the first and important step of management.Astherewashigherprevalenceandseverityofcoronary atherosclerosis in patients with SpA, 22 CVD risk assessment was recommendedatleastonceevery5 years.Nevertheless,traditional CV risk assessment underestimates CV risk. 23,24 Screening for asymptomatic atherosclerotic plaques by carotid ultrasound may be consideredinpatientswithlowormoderateCVrisk.…”