Hospital Pablo Tobón Uribe-Spondyloarthropathies. A cohort description

Spondyloartropahties share a genetic, clinical and environmental context. Objective To describe demographic, clinical and radiological characteristics of spondyloarthropathies in a tertiary hospital. Methods Descriptive analysis of a 71 patients. Demographics, clinical, radiological and treatment modalities are shown. Results A total of 71 patients were identified. Low back pain 84%, entesopathye 67%, peripheral arthritis 64% and alternant buttock pain were often seen. The most common joint involved were sacroiliac joints 62%, ankles 32%, knees 30%, tarsal joints 14%. Radiological sacroiliacs involvement 64%. Dactilytis 22%, uveitis 19%, renal and pulmonary involvement were seen 5% and 1% respectively. Activity and functional indexes were (BASDAI) 4.82 and (BASFI) 4. High ESR and PCR were seen 54% and 34%, while HLA B27+52%. DMARDs (sulfasalazine and methotrexate) were used 68%. NSAIDs 52%. Anti-TNF blockers 42% (Infliximab 20%, adalimumab 16% and etanercept 6%). Conclusion Our patients shown an active disease. A high incidence of undifferentiated spondyloarthropahies was found. Dactylitis was the most common extraarticular manifestation and radiological findings were similar to previously reported in the literature.