Spondyloarthropathy

Signs & symptoms

Onset before age 45yrs, lasted longer than 3 months and 4 or more of the following features:

• Onset before age 35yrs.
• Wakes second half of night.
• Buttock pain.
• Spinal pain that improves with movement/activity.
• Morning stiffness lasting >30 minutes.
• Improvement within 48hrs of taking NSAIDs.
• First degree relative with spondyloarthritis.
• Current or past arthritis.
• Current or past enthesitis.
• Current or past psoriasis.
• History of uveitis, dactylitis, inflammatory bowel disease.

Risk factors

• Recent infection (bowel/genito-urinary)
• Family history of inflammatory conditions.
• Caucasion > Afro Caribbean/Asian.

Bloods are per primary care protocol and refer to local Rheumatology service.