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Daniel E. Gelb, M.D.

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Ankylosing spondylitis

Definition:

Ankylosing spondylitis is a long-term disease that causes inflammation of the joints between the spinal bones and the joints between the spine and the pelvis. It eventually causes the affected spinal bones to join together.

See also: Arthritis

Alternative Names:

Rheumatoid spondylitis; Spondylitis; Spondylarthropathy

Causes, incidence, and risk factors:

The cause of ankylosing spondylitis is unknown, but gene problems seem to play a role.

The disease starts with intermittent hip or lower-back pain that is worse at night, in the morning, or after inactivity. Back pain begins in the sacroiliac joints (between the pelvis and the spine) and may later include the lower spine and the upper spine.

Pain may be eased by assuming a bent posture. Limited expansion of the chest occurs because of the involvement of the joints between the ribs. The symptoms may worsen, go into remission, or stop at any stage.

The disease most frequently begins between age 20 and 40, but may begin before age 10. It affects more males than females. Risk factors include a family history of ankylosing spondylitis and male gender. About 0.21% of Americans over age 15 are affected.

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