© 1995 British Society for Rheumatology
research-article |
INFLAMMATORY BACK PAIN IN PRIMARY CARE
Department of Primary Health Care, University of Keele
*The Staffordshire Rheumatology Centre, Stoke on Trent
Correspondence to:
Correspondence to: M.R. Underwood, Epidemiology and Medical Care Unit, Wolfson Institute of Preventive Medicine, The Medical College of St Bartholomew's Hospital, Charterhouse Square, London EC1B 6BQ.
Three-hundred-and-thirteen back pain sufferers completed a screening questionnaire for inflammatory back pain. This was positive in 46 (15%), who were invited for a further examination. Only two of these patients had definite ankylosing spondylitis. Eighteen of them (39%) had other features associated with spondyloarthropathy. It is suggested that up to 5% of back pain sufferers may have a mild form of ankylosing spondylitis that may never progress to definite ankylosis, but for whom treatment as if they had ankylosing spondylitis may be of benefit.
KEY WORDS: Ankylosing spondylitis, Primary care, Early diagnosis
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