Ankylosing Spondylitis (AS)

- Rheumatology clinic DRHC Dubai

Ankylosing Spondylitis (AS) is a chronic inflammatory disease that primarily affects the spine, causing pain and stiffness. The exact cause of AS is not known, but it is believed to be a combination of genetic, environmental, and immune system factors. At Dr. Rami Hamed Medical Center, Dubai, we understand the challenges that come with living with AS. Our clinic is staffed by a team of highly skilled and experienced rheumatologists who specialize in the diagnosis and treatment of this condition.

Causes of Ankylosing Spondylitis:

1. Genetic Factors:

   HLA-B27 is a genetic marker that is strongly associated with the development of ankylosing spondylitis (AS). Individuals who carry the HLA-B27 gene have an increased risk of developing AS, although not everyone with this gene will necessarily develop the condition

2. Environmental Factors:

3. Immune System Factors:

4. Other Factors:

   • Age: AS typically develops in early adulthood, usually between the ages of 20 and 40. However, it can occur at any age.
   • Gender: AS is more common in men than in women, with a male-to-female ratio of approximately 3:1.

Symptoms of Ankylosing Spondylitis:

The symptoms of Ankylosing Spondylitis (AS) can vary from person to person and may develop gradually over time. Common symptoms include:

• Chronic back pain and stiffness, especially in the morning and after periods of inactivity.
• Pain and stiffness in the neck, shoulders, hips, and other joints.
• Fatigue and general feelings of malaise.
• Reduced flexibility and range of motion in the spine and other joints.
• Pain and swelling in the eyes (uveitis).
• Difficulty breathing and chest pain (in severe cases where the spine becomes fused).

It is important to note that not everyone with AS will experience all of these symptoms, and the severity of symptoms can vary from person to person. If you are experiencing any of these symptoms, it is important to see a doctor for a proper diagnosis and treatment. Book Appointment with our specialist rheumatologist.

Diagnosis of Ankylosing Spondylitis:

Diagnosing Ankylosing Spondylitis (AS) can be challenging, as the symptoms can be similar to those of other conditions. However, there are several tests and procedures that can help confirm a diagnosis of AS:

• Medical history: Your doctor will ask about your symptoms, medical history, and family history of AS or other autoimmune diseases.
• Physical examination: Your doctor will perform a physical examination to check for signs of inflammation and stiffness in your joints, especially in the spine.
• Blood tests: Blood tests can help detect inflammation and check for the presence of the HLA-B27 gene, which is strongly associated with AS.
• Imaging tests: X-rays, MRI scans, and CT scans can help your doctor visualize the extent of inflammation and damage in your spine and other joints.

Complications of Ankylosing Spondylitis:

Ankylosing Spondylitis (AS) can lead to several complications, especially if left untreated. Common complications include:

• Reduced flexibility and range of motion in the spine and other joints.
• Chronic pain and stiffness, which can affect your ability to perform daily activities.
• Fusion of the spine and other joints, which can lead to a stooped posture and difficulty breathing.
• Inflammation and damage to the eyes (uveitis), which can cause pain, redness, and sensitivity to light.
• Inflammatory bowel disease (IBD), which can cause abdominal pain, diarrhea, and other digestive problems.

It is important to note that not everyone with AS will develop these complications, and the severity of complications can vary from person to person. However, it is important to see a doctor for a proper diagnosis and treatment to help prevent or manage these complications.