González-Macías FJJ

Language: Spanish
References: 12
Page: 104-109
PDF size: 106.81 Kb.

ABSTRACT

Introduction. The ankylosing spondylitis is an spondiloartritis serumnegative, which is the prototype of the calls indifference spondiloartropatias.
It affects with predilection axial structures: spine and articulations sacroiliacs.
It spreads paralyzing tendency for ossification subligamentaria and entesica it affects but it frequents to the masculine sex.
It shows up for the first time in the young adult and it can include manifestations sistemicas and a strong association polygenic with the antigen HLAB27 for their diagnose clinical characteristic approaches and radiological very useful modifications they exists. Their treatment is medical eminently and it specify and the success of the same one depends of the diagnose early.
Objective. Notify two clinical representative cases of ankylosing spondylitis (AS) diagnosed and treaties in the Military Regional Hospital of Acapulco.
Material and methods. They show up two clinical cases in different stages of the illness.
Conclusion. The one diagnoses of Ankylosing Spondylitis it represents a clinical challenge, for the uncommon of the illness, the presented cases are opposed, the first one is an incipient case in young patient, with a diagnose precocious and opportune treatment. The second. A mature bigger patient with changes structured in the skeleton functional axial and great repercussion due to a diagnose late.
Therefore the illness should be known to carry out the detection but precocious and to offer a therapeutic better attention.

REFERENCES

1. Wendling D. Enciclopedie Médico Quirurgicale. Sección Espondilitis Anquilosante. Paris. Editions Medicales Elsevier 2001; 2(14): 1-19.

2. Martínez EP. Introducción a la Reumatología Sección espondiloartropatías seronegativas. 2a. Ed. México: Editorial Intersistema; 1997, p. 173-81.

3. Gutiérrez VS. Manual clínico de reumatología. 2a. Ed. México: Editorial Manual Moderno; 2004, p. 199-206.

4. Hoppenfeld S. Exploración física de la columna vertebral y las extremidades. 13a. Reimpresión (español). México: Editorial; 1994, p. 250-300.

5. Hawkins RJ. Músculos keletal examination. 1a. Ed. Estados Unidos: Edit. Mosby 1995; 238; 89-91.

6. Brown De, Neumann RD. Secretos de la ortopedia. 2a. Ed. México: Edit. McGraw-Hill Interamericana; 2001, p. 9-15.

7. Teyssandie TM. Práctica de la exploración clínica programada del caquis. 1a. Ed. España: Editorial Masson; 1997, p. 15-23.

8. Bare MG, Califano EJ. Semiotécnica maniobras de exploración. 4a. Ed. España: McGraw-Hill Interamericana; 1992, p. 131-6.

9. Reynes MJ. Atlas de reumatología pediátrica. Sección espondilitis anquilosante juvenil. 1a. Ed. México: Ediciones Médicos del INP; 2000, p. 4-14.

10. Amar B, Dougedos M, Mijiyawat. Crateres de classification de spondylarthropathies. Rev Rhevm Mal Ost L9.

11. Tavera JM, Cardoso JM. Radiología e imagen diagnóstica y terapéutica. Expondiloarthropatias. 1a. Ed. Cap. 8. USA: Edith Liii cont Nilliams Wilkins; 2001, p. 154-62.

12. Manerorf, Roca E, Mor MJ. Pseudoartrosis vertebral en la espondilitis anquilosante.