Plain radiographs and thoracic high-resolution CT in patients with ankylosing spondylitis.

Fenlon, Helen M.; Casserly, Ivan P.; Sant, S.; Breatnach, E

doi:10.2214/ajr.168.4.9124117

Cited by 69 publications

(33 citation statements)

References 9 publications

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“…This has been suggested to be a consequence of reduced mobility of the thoracic cage (Hamilton 1949;Hurwitz et al 1982;Hillerdal 1983;Seçkin et al 2000). In previous studies, which were made with reontgenographic evaluation, pulmonary involvement frequency was reported between 1 to 15% in AS in different studies (Rosenow et al 1977;Fenlon et al 1997). However in recent studies, which were performed with chest high resolution computed tomography, the pulmonery involvement freguency was reported between 40 to 80% in different studies Turetschek et al 2000;Kiris et al 2003;Senocak et al 2003;Souza et al 2004;Sampaio-Barros et al 2007).…”

Section: Clinical Assessments and Laboratory Parametersmentioning

confidence: 99%

The Pulmonary Involvement in Rheumatic Diseases: Pulmonary Effects of Ankylosing Spondylitis and Its Impact on Functionality and Quality of Life

Dinçer

Çakar

Kıralp

et al. 2007

Tohoku J. Exp. Med.

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Rheumatic diseases are chronic inflammatory diseases which cause mild to severe functional loss and disability due to articular and extra-articular manifestations. One common form -ankylosing spondylitis (AS)-affects mainly the axial skeleton and sacroiliac joints, and certain extra-articular organs. The pulmonary involvement is a known manifestation of AS and emerges either in the form of interstitial lung disease or in the form of restricted pulmonary functions. The aim of this study is to determine the pulmonary functions in AS patients and to assess its relationship with quality of life, functionality and disease activity. Thirty-six AS patients and 34 healthy volunteers were recruited for the study. A detailed examination, pulmonary function tests, smoking inquiry and quality of life questionnaire were performed on all participants. Also patients were requested to complete functionality and disease activity indexes. The outcomes showed that 15 (41.7%) AS patients had pulmonary involvement: twelve patients with restrictive patterns, one with obstructive pattern, and two with both restrictive and obstructive patterns. Decreased forced expiratory volume in one second was associated with deteriorated functionality ( p < 0.05). Decreased chest expansion was also accompanied with decreased forced vital capacity ( p < 0.05). There was no statistically significant difference between the smoking and non-smoking patients in regard to disease activity, functionality and pulmonary function test variables ( p > 0.05). In conclusion, the pulmonary involvement is common in AS and might have disturbed functionality and the quality of life in AS patients. rheumatic disease; ankylosing spondylitis; pulmonary involvement; functionality; quality of life

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Section: Clinical Assessments and Laboratory Parametersmentioning

confidence: 99%

The Pulmonary Involvement in Rheumatic Diseases: Pulmonary Effects of Ankylosing Spondylitis and Its Impact on Functionality and Quality of Life

Dinçer

Çakar

Kıralp

et al. 2007

Tohoku J. Exp. Med.

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“…A pleuropulmonalis érintettség előfordulása az SPAban a beszámolók szerint 0 és 30% között változik [36][37][38]. A pulmonalis érintettség a betegség ritka és kései extraskeletalis manifesztációja.…”

Section: Megbeszélésunclassified

Az interdiszciplináris rehabilitáció hatása spondylitis ankylopoeticában szenvedő betegekben

2016

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Bevezetés: A légzőszervi manifesztációval kapcsolatos komplex pulmonalis vizsgálat spondylitis ankylopoeticában szenvedő betegekben hozzájárulhat a megfelelő rehabilitációs program kialakításához. Célkitűzés: A légzésfunkciós, terhelés-élettani változók és a rehabilitációt követő életminőség-változás közötti kapcsolat vizsgálata. Módszer: A vizsgálatba 5 fő Seyfried II. stádiumú és 11 fő Seyfried III. stádiumú beteget vontak be, akik spinalis fizioterápiás, ultrahangos, masszázs-és parafinpakolásos kezelésben részesültek, személyenként 15 alkalommal, majd 8 héten keresztül, heti 3 alkalommal nagy intenzitású kerékpár-kondicionálás történt. A rehabilitáció előtt és után Bath Ankylosing Spondylitis Disease Activity Index és Bath Ankylosing Spondylitis Functional Index felvételére került sor. A rehabilitációt követően elvégezték a légzésfunkciós paraméterek és a terhelés-élettani változók vizsgálatát. Eredmények: Mindkét index jelentős, kezelés utáni változást mutatott az eredeti eredményekhez képest (p<0,05). Ezek a funkcionális mutatók összefüggést mutattak a nyugalmi légzésfunkciós és a terhelés-élettani változókkal (p<0,05). Következ-tetések: A vizsgálat alapján lehetséges, hogy az előzetes pulmonalis felmérés a spondylitis ankylopoetica kezelésére irányuló hatékonyabb program kidolgozásának alapjául szolgálhat. Orv. Hetil., 2016, 157(28), 1126-1132. Kulcsszavak: spondylitis ankylopoetica, életminőség, rehabilitáció Interdisciplinary rehabilitation in patients with ankylosing spondylitisIntroduction: Complex pulmonary assessment related to respiratory manifestation in patients with ankylosing spondylitis may contribute to adaptation of an appropriate rehabilitation program. Aim: To examine the relationship between lung function, exercise physiological variables and change in quality of life after rehabilitation in patients with ankylosing spondylitis. Method: 5 patients in Seyfried's Stage 2 and 11 patients in Stage 3 underwent spinal physiotherapy, ultrasound, massage and paraffin Pack, 15 times each, followed by a high-intensity cycling 3 times a week for 8 weeks. The Bath Ankylosing Spondylitis Disease Activity and Bath Ankylosing Spondylitis Functional Indexes were recorded before and after rehabilitation. Lung function with exercise physiological variables were examined after rehabilitation. Results: Both indexes showed a post-treatment significant improvement compared to the initial scores (p<0.05). These functional indices correlated with lung function at rest and physiological variables during exercise (p<0.05). Conclusions: Based on this study, it is possible that an initial pulmonary assessment may serve to develop a more effective program for ankylosing spondylitis.

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“…Ankylosing spondylitis is a connective tissue disease of unknown pathogenesis [1][2][3]. Young males aged 20-40 yrs are the most commonly affected, 90% of whom are HLA-B27-positive [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…Young males aged 20-40 yrs are the most commonly affected, 90% of whom are HLA-B27-positive [2,3]. The reported prevalence of pulmonary disease ranges 0-30% [4,5].…”

Section: Discussionmentioning

confidence: 99%

A patient with ankylosing spondylitis and recurrent haemoptysis

Franquet¹,

Müller²,

Flint³

2004

Eur Respir J

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A 54-yr-old male presented with a history of recurrent episodes of haemoptysis over the previous 2 yrs. The patient also complained of back pain and stiffness for 15 yrs due to ankylosing spondylitis. Over the previous 2 weeks, he had been complaining of progressively increasing dyspnoea, malaise and fever. The fever persisted despite antibiotics and the patient showed acute severe haemoptysis. He drank little alcohol and had ceased smoking a few cigarettes daily 20 yrs previously. He had no previous history of pulmonary tuberculosis.On admission, he was pale and complained of nonproductive cough. His temperature was 37.6uC, pulse rate 98 beats?min -1 , respiratory frequency 30 breaths?min -1 and blood pressure 160/90 mmHg. On physical examination, the patient was a thin male, who appeared comfortable at rest, without respiratory stridor. No lymphadenopathy was evident. The head and neck were normal.

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Plain radiographs and thoracic high-resolution CT in patients with ankylosing spondylitis.

Cited by 69 publications

References 9 publications

The Pulmonary Involvement in Rheumatic Diseases: Pulmonary Effects of Ankylosing Spondylitis and Its Impact on Functionality and Quality of Life

The Pulmonary Involvement in Rheumatic Diseases: Pulmonary Effects of Ankylosing Spondylitis and Its Impact on Functionality and Quality of Life

Az interdiszciplináris rehabilitáció hatása spondylitis ankylopoeticában szenvedő betegekben

A patient with ankylosing spondylitis and recurrent haemoptysis

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