Spondyloarthropathy

Spondyloarthropathies, including ankylosing spondylitis, are accompanied by acute anterior uveitis in about one-third of patients during the course of their disease. Anterior uveitis is typically acute in onset and unilateral; it lasts four to eight weeks, and subsides without sequelae, if treated early (13). Cervical spondylitis is the other common head and neck manifestation of spondyloarthropathy. Examination of the neck may reveal decreased range of motion in all planes. Temporomandibular joints are affected in about 10% of patients with spondyloarthropathy. Other sites of involvement often include the thoracic and lumbar spine, sacroiliac joints, hip, and shoulder; the smaller peripheral joints also can be affected. Spondyloarthropathy occurs in a subset of patients with psoriasis, inflammatory bowel disease, and reactive arthritis.

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