第六章 AS血清阴性脊柱关节病.pptVIP

血清阴性脊柱关节病 (Seronegative spondyloarthropathies) 一、概念 　　　　 　　　血清阴性脊柱关节病是一组相互关联的以侵犯脊柱和骶髂关节为特点的多系统炎性疾病。 Diseases Belonging to the Spondyloarthropathies Ankylosing spondylitis Reiters syndrome/reactive arthritis Arthropathy of inflammatory bowel disease (Crohns disease, ulcerative colitis) Psoriatic arthritis Undifferentiated spondyloarthropathies Juvenile chronic arthritis: juvenile onset ankylosing spondylitis Diseases Belonging to the Spondyloarthropathies Behcet disease？ Whipple病？ 　　　　共同特征 类风湿因子阴性 不同程度有骶髂关节炎,可影响脊柱 附着点病（enthesopathy) 家族聚集发病倾向 与HLA-B27有密切相关 强直性脊柱炎 (Ankylosin