Rheumatology Advance Access published online on September 16, 2008
Rheumatology, doi:10.1093/rheumatology/ken357
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© The Author 2008. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Editorial |
What is the most important outcome parameter in ankylosing spondylitis?
1Rheumazentrum Ruhrgebiet, Herne, Ruhr University, Bochum and 2Department of Gastroenterology and Rheumatology, Universitätsmedizin Charité, Universität Berlin, Berlin, Germany
Correspondence to:
J. Braun, Rheumazentrum Ruhrgebiet, Landgrafenstr. 15 44652 Herne, Germany. E-mail: j.braun@rheumazentrum-ruhrgebiet.de
| The first 150 words of the full text of this article appear below. |
AS is the most frequent inflammatory rheumatic disease that not only affects the spine, peripheral joints and entheses, but also other organs such as the anterior uvea [1]. The disease starts relatively early in life at a mean age of 26 yrs and is only somewhat more frequent in male than in female patients, with inflammatory back pain being a characteristic symptom [2]. The disease usually takes a chronic course that is characterized by new bone formation with syndesmophytes and ankylosis [1]. More than 30% of the patients carry a heavy burden of disease and have a decreased quality of life [3].
The cornerstones of treatment are physical therapy and drug therapy with NSAIDs [4]. The pros and cons of these agents in the therapy of AS have recently been discussed [5]. Patients in whom the disease activity