SPONDYLOARTHRITIS. VISION OF THE PATHOLOGY FROM VARIOUS SIDES (literary review)
Keywords:
spondyloarthritis, axial spondyloarthritis, peripheral spondyloarthritis, HLA-B27, tumor necrosis factor, interleukinAbstract
Spondyloarthritis (SpA) is an inflammatory rheumatological disease affecting the axial skeleton, peripheral joints and tendons, as well as extra-skeletal areas. In more recent nomenclature, SpA is divided into axial and peripheral types. Axial SPA is further subdivided into radiographic and non-radiographic axial SpA. Genetic factors play a significant role, with HLA-B27 exerting the greatest influence. Interleukin-23/17 holds important immunological significance and paves the way for new therapeutic approaches. The main symptom of axial SpA is back pain with its characteristic features. Therapeutically, physical therapy, non-steroidal anti-inflammatory drugs and biological drugs are used. Traditional basic treatment methods are effective only for peripheral arthritis.
References
Алексеев Л. И. Ревматология. — М.: ГЭОТАР-Медиа, 2021. — 528 с.
Гусев Е. И., Скворцова В. И. Неврология. — М.: ГЭОТАР-Медиа, 2020.
Дьяконов А. Л. Болезнь Бехтерева. Современные представления. — СПб.: СпецЛит, 2021.
Ковалева И. А. Современные подходы к терапии анкилозирующего спондилита // Клиническая ревматология. — 2020. — №2.
Кузнецова Т. Ю., Бокарев В. И. Серонегативные спондилоартропатии. — М.: Литтерра, 2020.
Насонова В. А., Алексеева Л. И. Ревматические болезни. — М.: Медицина, 2019.
Научно-практические рекомендации ОАРКИ по лечению спондилоартритов. — М., 2023.
Петрухин А. С. Болезни позвоночника. — М.: МЕДпресс-информ, 2018.
Поворознюк В. В. Остеоартрит и спондилоартрит: современные стратегии лечения. — Киев: Морион, 2019.
Шостак Н. А. Болезни опорно-двигательной системы. — М.: МЕДпресс, 2021.
Baraliakos X., Braun J. Imaging in axial spondyloarthritis. — Current Opinion in Rheumatology, 2015.
Braun J., Sieper J. Ankylosing Spondylitis and Axial Spondyloarthritis. — Oxford University Press, 2017.
Dougados M., Baeten D. Spondyloarthritis. — Lancet, 2011; 377(9783):2127–2137.
Gladman D.D. Spondyloarthritis: Insights into pathogenesis and classification. — Current Opinion in Rheumatology, 2021.
Haroon N., Inman R.D. Bone formation in axial spondyloarthritis: current understanding and future directions. — Current Opinion in Rheumatology, 2015.
Lories R.J., Schett G. New insights into bone formation in spondyloarthritis. — Current Rheumatology Reports, 2012.
Maksymowych W.P. MRI in spondyloarthritis. — Rheumatic Disease Clinics, 2016.
Marzo-Ortega H., McGonagle D. Axial spondyloarthritis: current perspectives and unmet needs. — Therapeutic Advances in Musculoskeletal Disease, 2020.
McGonagle D., Benjamin M. Enthesitis: the clue to the pathogenesis of spondyloarthritis. — BMJ, 2009.
Reveille J.D. Genetics of spondyloarthritis—beyond the MHC. — Nature Reviews Rheumatology, 2012.
Ritchlin C.T., Colbert R.A., et al. Pathogenesis of spondyloarthritis. — Nature Reviews Rheumatology, 2013.
Rudwaleit M., van der Heijde D., Landewe R., et al. The Assessment of SpondyloArthritis international Society (ASAS) classification criteria. — Annals of the Rheumatic Diseases, 2009.
Sieper J., Poddubnyy D. Diagnosis and classification of axial spondyloarthritis. — Rheumatic Disease Clinics of North America, 2014.
Smith J.A. Update on ankylosing spondylitis: current concepts in pathogenesis. — Current Allergy and Asthma Reports, 2015.
Stolwijk C., Boonen A., van Tubergen A., et al. Epidemiology of spondyloarthritis. — Rheumatic Disease Clinics, 2012.
Van der Heijde D., et al. Efficacy of TNF inhibitors in axial spondyloarthritis. — Best Practice & Research Clinical Rheumatology, 2015.
Ward M.M., Deodhar A., Gensler L.S., et al. 2019 Update of the American College of Rheumatology/Spondylitis Association of America/Spondyloarthritis Research and Treatment Network recommendations for the treatment of ankylosing spondylitis. — Arthritis Rheumatol., 2019.