Kickas.org Forums Ankylosing Spondylitis General Discussion Highlights in Spondylitis Research Radiographic axSpA v Non-Radiographic axSpA

Treat the same - so, don't have to wait for the radiographic determinants, go ahead and treat ! About time to -

https://www.healio.com/rheumatology/spondyloarthropathies/news/online/%7B61404450-68a2-42dd-9b4e-30570f970f03%7D/radiographic-non-radiographic-axial-spa-behave-similarly-over-time?M_BT=3641635227095

The incidence of peripheral and extra-rheumatic symptoms, as well as disease burden, remain similar over a period of at least 5 years between patients with radiographic and nonradiographic axial spondyloarthritis, according to data published in the Annals of the Rheumatic Diseases.

“The fact that only 5.1% of patients with recent axSpA shifts from [nonradiographic (nr)]-axSpA to [radiographic (r)]-axSpA over 5 years prompts a debate concerning the concept of nr-axSpA: Some people suggest that patients classified as nr-axSpA might actually be suffering from a disease different from r-axSpA, while others suggest that nr-axSpA could be a self-limited form of axSpA with a rapidly favorable course,” Clementina López-Medina, MD, PhD, of Hospital Cochin, in Paris, and colleagues wrote.

It also helps bring the ratio of men to women to 1:1 rather than was previously thought of 4:1. Another deep dive is to look at how hard it is to x ray the thoracic spine for sendesmophytes. Can get very creative with a talented CT Scan but I will hold out for AI in 15 years time , fingers crossed.

MRI now considered gold standard. AI will be a time getting here, should be within yr 15 years though <LOL>