Roles of Diagnosis and Management of Spondyloarthritis, Systematic Review

Fatimah Nasr AlShaikhAhmed, Fatimah Rada Alsammak, Sharifah Radhi AlSammak, Fatimah Nasser Al-Rebh, Sakinah Ahmed Aljishi

Abstract: The spondyloarthropathies (SpA) are a rheumatologic group of inflammatory diseases that include ankylosing spondylitis (AS), reactive arthritis (ReA), enteropathic spondylitis, or arthritis associated with inflammatory bowel disease (IBD), psoriatic arthritis (PsA), and undifferentiated spondyloarthropathy (uSpA). The aim of this systematic review was this to demonstrate and highlight the updates on the diagnosis and managment of spondyloarthritis throught evdiance based studies. Studies were retrieved by searching six electronic databases (MEDLINE/PubMed, EMBASE, PEDro, AMED, CINAHL, and The Cochrane Central Register of Controlled Trials) from their inception to October, 2016. Search terms were adapted for use with each database. Common keywords and medical subject headings were related to components: "spondyloarthritis," "ankylosing spondylitis," "sacroiliitis," "psoriasis arthritis," "reactive arthritis," "arthritis and inflammatory bowel disease," "inflammatory back pain, diagnosis and management." Based on several studies which were identified, NSAIDs are especially effective in patients with axial involvement, reducing pain and stiffness substantially in a majority of patients, as shown in a number of clinical trials with nonselective cyclooxygenase (COX) inhibitors as well as with selective COX-2 antagonists. Keywords: spondyloarthropathies (SpA), ankylosing spondylitis (AS), reactive arthritis (ReA). Title: Roles of Diagnosis and Management of Spondyloarthritis, Systematic Review Author: Fatimah Nasr AlShaikhAhmed, Fatimah Rada Alsammak, Sharifah Radhi AlSammak, Fatimah Nasser Al-Rebh, Sakinah Ahmed Aljishi International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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Roles of Diagnosis and Management of Spondyloarthritis, Systematic Review by Fatimah Nasr AlShaikhAhmed, Fatimah Rada Alsammak, Sharifah Radhi AlSammak, Fatimah Nasser Al-Rebh, Sakinah Ahmed Aljishi