Características clínico-radiológicas de los pacientes con espondiloartritis axial de la cohorte de espondiloartritis del Hospital Teodoro Maldonado Carbo en 2016-2018.

Abstract

Spondyloarthritis (SpA) is an inflammatory and chronic rheumatic disease. Due to the their clinical and imaging characteristics, diagnosis is delayed, helping to the progression of axial SpA. Objective: Determine the main clinical and radiological characteristics of SpA patients in the Hospital Teodoro Maldonado Carbo, between 2016 - 2018. Methodology: Retrospective, descriptive, observational, cohort study. Results: We obtained a population of 114 patients, 87 (76.32%) males. With and average of 42 years old. Insidious onset was observed in 73.68% and the most frequent symptom was a limb pain 86.64%, and inflammatory lumbar pain 57.02%. A 68.42% did not show any extra-articular symptoms. A 21.93% shows uveitis, 6.14% psoriasis. It was radiologic evidence in 76.32% of cases and 55.26% met the New York criteria, 22.81% showed syndesmophytes and other ossifications in 33.33%. Patients showed sacroilitis in 57.89%, 50% were bilateral, with grade IV in 21.05%. The BASFI average was 4.77 and the standard deviation was 3.03. 57.89% of individuals showed a PCR higher than 5 mg/L, whose average was 4.96 and the standard deviation was 7.46. 61.40%. of the population had a positive HLAB-27. Conclusion: Most of the population were male. The most frequent onset was insidious and the most frequent symptom was peripheral pain, followed by lumbar pain. The most frequent extra-articular symptom was uveitis. Most of the patients had Anquilosing spondylitis, meeting the New York criteria; and had a positive HLAB 27.