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Common extra-articular features found in axial spondyloarthropathy
 Closely linked to the above information on best practice in assessment, we need to be very mindful, both during assessment and treatment / review sessions to consider the possibility of extra-articular features in our spondyloarthritis cohort. This presentation covers the main extra-articular features and will hopefully change how you assess and treat (and refer on!)Facts to consider: • 5-10% of patients with Axial SpA have IBD
• 25-49% of Axial SpA patients have subclinical gut inflammation when endoscoped
• There is an increased prevalence of getting IBD with Axial SpA if HLA B27 +
• When patients with IBD had MRIs 30-40% had SI joint changes
• 40% of people with AAU have axial SpA
• 26% of people with axial SpA have AAU
• AAU can occur before spinal disease or at any point during the course of the disease
• Increased prevalence of getting AAU with Axial SpA if HLA B27 +
•8% of patients with axial SpA have psoriasis
•7-8% of patients with AS have psoriasis, and they tend to be HLA-B27+
Outcome Measures:
The Bath Indices, outcome measure information booklet, for use with ankylosing spondylitis patients was reviewed and edited by four members of the AStretch Committee- Heather Harrison, Karen Irons, Amanda Thomas and Jane Martindale. The extensive reference section represent the vast literature search undertaken, this was supported by the librarians at Wrightington Wigan and Leigh NHS Foundation trust.
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