Article citationsMore>>
Hammoudeh, M., Abdulaziz, S., Alosaimi, H., Al-Rayes, H., Aldeen Sarakbi, H., Baamer, M., Baraliakos, X., Dahou Makhloufi, C., Janoudi, N., Shirazy, K., Sieper, J. and Sukhbir, U. (2016) Challenges of Diagnosis and Management of Axial Spondyloarthritis in North Africa and the Middle East: An Expert Consensus. The Journal of International Medical Research, 44, 216-230.
https://doi.org/10.1177/0300060515611536
has been cited by the following article:
-
TITLE:
Ankylosing Spondylitis in a 44-Year-Old Nigerian Man: A Case Report
AUTHORS:
Michael Bundepuun Ode, Icha Inalegwu Onche, David Ghorau Mancha, Idumagbodi Amupitan
KEYWORDS:
Ankylosing Spondylitis, Black, Nigerian, Man, 44 Years
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.9 No.8,
August
10,
2021
ABSTRACT: Ankylosing spondylitis (AS) is a rare inflammatory disorder that affects the axial skeleton. It is characterized by inflammation of the joints of the spine with subsequent bridging of the spinal segments resulting in a reduced mobility of the spine and subsequent stiffness of the spine. It can be a severely limiting condition adversely affecting the quality of life of affected individuals. It has been found to be commoner in Caucasians and Asians but rare in blacks in the Americas with few cases reported amongst the African Black population. It is associated with the occurrence of the major histocompatibility complex (MHC) class 1 allele HLA-B27. We present the case of a 44-year-old Nigerian man presenting with a 21-year history of progressively worsening back pain and stiffness associated with hip pain and difficulty in extending his neck. He had no extraspinal manifestations. He was diagnosed with Ankylosing Spondylitis using the modified New York criteria. He was commenced on selective COX2 inhibitors and a physical therapy program aimed at improving the flexibility of the spine and reducing pain. He had a significant improvement in his pain and improved flexibility of his spine in all planes. Ankylosing spondylitis affects the axial skeleton primarily but there may be some extra spinal manifestations such as anterior uveitis, psoriasis and inflammatory bowel disease. Various modalities are employed in its treatment ranging from physical therapy, drugs e.g. Nonsteroidal anti-inflammatory drugs, tumour necrosis factor inbibitors and surgery where complications arise. These have proven effective in improving the symptoms of the disease and quality of life.
Related Articles:
-
Andrew Beckwith
-
Boukaka Kala Rel Gerald, Kinata Bambino Sinclair Brice, Ekouele Mbaki Hughes Brieux, Bingui Outman Pascal Diogène, Boukassa Léon, Moukouengo Nee Kaya Fleur Patricia, Mabiala Babela Jean Robert
-
Pascal Diogène Bingui Outman, Nelly Sandrine Guembo Pandzou, Rolyne Vanissia Madzou Nganie, Verlem Bomelefa-Bomel, Benoite Diatewa, Kadidja Grace Nkounkou Milandou, Jean Brice Mouendenguia, Luopou Lamah, Audrey Niangui-Bakala, Dorthéa Banga Massalat, Rel Gérald Boukaka Kala, Jean Robert Mabiala Babela
-
Dikima D. Bibelayi, Albert S. Lundemba, Philippe V. Tsalu, Pitchouna I. Kilunga, Jules M. Tshishimbi, Zéphirin G. Yav
-
Esra Ertan