Clinical Case Database / Category: Patient Management

Inflammatory back pain

Publication details

Rebecca Adshead, Dr Swati G Sheth, Dr Hasan Tahir
Foundation Years Journal, volume 6, issue 2, p.36 (123Doc Education, London, February 2012)

Abstract

This is a case summary based on a 28 year old man with a two year history of lower back pain and stiffness. The article highlights his clinical history, examination, investigations and multidisciplinary management.

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Authors

Rebecca Adshead

Specialist Ankylosing Spondylitis Physiotherapist
Whipps Cross University Hospital Trust, London
Rebecca.Adshead@whippsx.nhs.uk

Dr Swati G Sheth

FY2 Doctor
Whipps Cross University Hospital Trust, London

Dr Hasan Tahir

Consultant Physician in Rheumatology and Acute Medicine
Whipps Cross University Hospital Trust, London
Hasan.Tahir@Whippsx.nhs.uk

References

1. Van Der Linden, S. Valkenburg, H. Cats, A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984:27: 361-8
2. Joint Formulary Committee. British National Formulary. 59th edn. London: BMJ group and Pharmaceutical Press 2010.
3. Adalimumab, etanercept and infliximab for ankylosing spondylitis. National Institute for Health and Clinical Excellence. May 2008
4. Barkham, N et al. The unmet need for anti tumour necrosis factor therapy for ankylosing spondylitis (AS). Rhuem 2005;44:1277-1281
5. Heldmann, F et al. Update on Biologic Therapy in the Management of Axial Spodyloarthritis. Curr Rheumatol Rep. 2010 Oct;12(5):325-31
6. Breban, M et al. Maintenance of infliximab treatment in ankylosing spondylitis. Arthritis Rheum. 2008; 58:88-97
7. Chorus A et al. Employment perspectives of patients with ankylosing spondylitis. Ann Rheum Dis 2002;61:693-699
8. Clinical Knowledge Summaries. Ankylosing Spondylitis, 2011 [online] Available at: http://www.cks.nhs.uk/ankylosing_ spondylitis#323617001
9. Atagunduz, P Aydin, S Z, Bahadir, C et al. Determinants of Early radiographic progression in ankylosing spondylitis. J Rheumatol 2010:37 (11): 2356-61

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.