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This is also known as rheumatoid spondylitis. Just like rheumatoid
arthritis this condition is also a chronic inflammatory arthritis but
involving the spine and joints of the spine and pelvis (sacroiliac joints).
This produces stiffness and pain in the low back and hips which may later
involve other joints such as the neck, upper back, shoulders, knees, and
feet. As the condition progresses and worsens there will be formation of new
bone, the vertebrae and rib cage may fuse together causing restriction of
chest expansion thus difficulty of breathing. The spine becomes stiff and
inflexible producing chronic stooping and deformity with difficulty walking
or just standing. Aside from limitation of motion affected individuals may
also have symptoms of fatigue, weight loss, loss of appetite, and eye
inflammation.
When the inflammation reaches the heart, the heart valves may also be
affected. It may also affect other body organs such as the eyes and the
lungs. As this condition may involve the lungs it is important for the
patient to stop smoking to prevent aggravation of the condition.
This condition is usually seen in males, individuals with positive family
history, and those less than 40 years of age. Genetics may play a role in
having the condition.
Since fusion of joints is an irreversible condition, early intervention
therefore is necessary. Oral medications are available to relieve pain and
stiffness and to delay if not prevent complications.
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