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Seronegative spondyloarthropathy--studies from the Asia Pacific region

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Authors
Howe, Hwee Siew; Zhao, Like; Song, Yeong Wook; Springer, Lauren; Edmonds, John; Gu, Jieruo; Yu, David T Y
Issue Date
2007-03-17
Publisher
Academy of Medicine, Singapore; 1999
Citation
Ann Acad Med Singapore. 2007 Feb;36(2):135-41.
Keywords
Arthritis/epidemiology/genetics/immunology/therapyAsian Continental Ancestry GroupGenetic Predisposition to DiseaseHLA-B27 Antigen/geneticsHumansSensitivity and Specificity*Spinal Diseases/epidemiology/genetics/immunology/therapySpondylitis, Ankylosing/genetics/immunologyTransforming Growth Factor beta1/immunology
Abstract
Recent therapeutic advances, in particular the use of anti-tumour necrosis factor (anti-TNF) agents, have revived interest in the seronegative spondyloarthropathies (SpA), a group of arthritides characterised by axial skeletal involvement and the absence of rheumatoid factor. The purpose of this article is to review the studies that have been done in the Asia Pacific region, as a broad understanding of the scope and severity of this group of diseases would enable rheumatologists and physicians in this part of the world to better manage their patients. The majority of genetic studies have focused on the associations of HLA-B27 with ankylosing spondylitis (AS) and SpA, while a few studies examined the associations of the CARD, IL-1, LMP2, TAP and TGF with AS. There are a handful of studies on the immunological responses to bacteria and cytokine levels in AS. The onset and clinical features of SpA have been reported from most countries in the region, but no data on patient outcomes, using current measurement tools such as the Bath Ankylosing Spondylitis Disease Activity index (BASDAI), is available. Validation of these instruments of measurement as well as classification criteria in different ethnic populations is necessary where no prior data exist. Future studies will likely be focused on better clinical characterisation of patient cohorts, particularly with regard to the use of currently used measurement tools for disease activity and spinal function and mobility, and the identification of the need for biologic therapy in each country.
ISSN
0304-4602 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17364081

https://hdl.handle.net/10371/29740
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College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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