No:70904124020H(210╳280)mm
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內部 過敏免疫風 濕科 內部 過敏免疫風 濕科 內部 過敏免疫風 濕科 內部 過敏免疫風 濕科
僵直性脊椎炎特別紀錄表
姓名 病房 床位 年齡 病歷號
Modified New York criteria(1984)
( )1. 發炎性的下背痛 及/或 下肢不對稱的關節炎 ( )2. 腰椎運動範圍受限
( )3. 擴胸範圍受限 ( )( )( )
( )4.4.4. 4. XXXX 光有薦腸關節炎光有薦腸關節炎光有薦腸關節炎光有薦腸關節炎，，，，雙側雙側雙側雙側2222級或單側級或單側級或單側級或單側3333級以上級以上級以上級以上 註：確定診斷為上述第4點加1-3中任何一點即確診
ASAS criteria for classification of axial spondyloarthritis (to be applied in patients with chronic back pain and age at onset of back pain, 45 years)
( )
A. Sacroiliitis
1. X ray: Bilateral grade 2–4 or unilateral grade 3–4, according to the modified New York criteria.
or
2. MRI :Active inflammatory lesions of sacroiliac joints with definite bone marrow oedema/osteitis suggestive of sacroiliitis associated with
spondyloarthritis.
Plus ≧1 SpA feature
OR ( )
B. HLA-B27(+)
Plus ≧2 other SpA features
SpA feature Definition
____1.Inflammatory Back Pain IBP according to experts: four out of five of the following
parameters present: (1) age at onset , 40 years, (2) insidious onset, (3) improvement with exercise,(4) no improvement with rest, (5)
No:70904124020H(210╳280)mm
pain at night (with improvement upon getting up)
____2.Arthritis Past or present active synovitis diagnosed by a doctor
____3.Family history Presence in first-degree or second-degree relatives of any of the following: (a) ankylosing spondylitis, (b) psoriasis, (c) uveitis, (d) reactive arthritis, (e) inflammatory bowel disease
____4.Psoriasis Past or present psoriasis diagnosed by a doctor ____5.Inflammatory bowel disease Past or present Crohn disease or ulcerative colitis
diagnosed by a doctor
____6.Dactylitis Past or present dactylitis diagnosed by a doctor
____7.Enthesitis Heel enthesitis: past or present spontaneous pain or tenderness at examination at the site of the insertion of the Achilles tendon or plantar fascia at the calcaneus.
____8.Uveitis anterior Past or present uveitis anterior, confirmed by an ophthalmologist ____9.Good response to NSAIDs At 24–48 h after a full dose of NSAID the back pain is not present
anymore or much better
____10.HLA-B27 Positive Testing according to standard laboratory techniques
____11.Elevated CRP CRP above upper normal limit in the presence of back pain,after exclusion of other causes for elevated CRP
