脊椎炎
WordNet
- inflammation of a spinal joint; characterized by pain and stiffness
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/02/07 22:57:36」(JST)
[Wiki en表示]
Not to be confused with spondylosis, spondylolysis, or spondylolisthesis.
| Spondylitis |
| Classification and external resources |
Spondylitis due to Tropheryma whipplei. Contrast-enhanced, T1 weighted fat suppressed magnetic resonance imaging demonstrating contrast enhancing lesions of spondylitis in the first (L1) and second (L2) as well as fourth (L4) and fifth (L5) lumbar vertebra, sparing the intervertebral discs.
|
| ICD-9 |
721.90 |
| DiseasesDB |
27077 |
| MeSH |
D013166 |
Spondylitis is an inflammation of the vertebra. It is a form of spondylopathy. In many cases spondylitis involves one or more vertebral joints as well, which itself is called spondylarthritis.
Types[edit]
Pott's disease is a tuberculous disease of the vertebrae marked by stiffness of the vertebral column, pain on motion, tenderness on pressure, prominence of certain vertebral spines, and occasionally abdominal pain, abscess formation, and paralysis.
Ankylosing spondylitis is an autoimmune disease involving the spine and sacroiliac joints, and is therefore also a form of spondylarthritis.
A combination of spondylitis and inflammation of the intervertebral disc space is termed a spondylodiscitis.
Spondylitis is one of the most common causes of back and neck pain, and results from inflammation of the vertebral joints. The condition is often not detected until it has fully developed and is causing pain. The pain is usually concentrated around the cervical region of the neck, shoulder and lower spine, with downward-moving stinging pain. Types of spondylitis include: cervical spondylitis – which affects the cervical spine, causing pain to spread the back of the neck; lumbar spondylitis – which causes pain in the lumbar region; and ankylosing spondylitis- which is primarily a disease that affects the sacroiliac joints, causing stiffness in the neck, jaw, shoulders, hips and knees.
References[edit]
|
Inflammation
|
|
| Acute |
| Plasma derived mediators |
- Bradykinin
- complement
- coagulation
- Factor XII
- Plasmin
- Thrombin
|
|
| Cell derived mediators |
| preformed: |
- Lysosome granules
- biogenic amines
|
|
| synthesized on demand: |
- cytokines
- eicosanoids
- Leukotriene B4
- Prostaglandins
- Nitric oxide
- Kinins
|
|
|
|
| Chronic |
- Macrophage
- Epithelioid cell
- Giant cell
- Granuloma
|
|
| Processes |
| Traditional: |
- Rubor
- Calor
- Tumor
- Dolor (pain)
- Functio laesa
|
|
| Modern: |
- Acute-phase reaction/Fever
- Vasodilation
- Increased vascular permeability
- Exudate
- Leukocyte extravasation
- Chemotaxis
|
|
|
| Specific locations |
|
|
|
Dorsopathies/spinal disease (M40–M54, 720–724, 737)
|
|
| Deforming dorsopathies |
| Spinal curvature |
- Kyphosis
- Lordosis
- Scoliosis
|
|
| Other |
- Scheuermann's disease
- Torticollis
|
|
|
| Spondylopathy |
- inflammatory: Spondylitis
- Sacroiliitis
- Discitis
- Spondylodiscitis
- Pott disease
- noninflammatory: Spondylosis
- Spondylolysis
- Spondylolisthesis
- Spinal stenosis
- Facet syndrome
|
|
| Back pain |
- Neck pain
- Upper back pain
- Low back pain
|
|
| Intervertebral disc disorder |
- Schmorl's nodes
- Degenerative disc disease
- Spinal disc herniation
|
|
|
|
|
noco (arth/defr/back/soft)/cong, sysi/epon, injr
|
|
|
|
|
|
Osteochondropathy (M80–M94, 730–733)
|
|
| Osteopathies |
|
Osteitis
|
endocrine bone disease: Osteitis fibrosa cystica (Brown tumor)
infectious bone disease: Osteomyelitis (Sequestrum, Involucrum) · Sesamoiditis · Brodie abscess · Periostitis · Vertebral osteomyelitis
|
|
|
Bone density
and structure
|
|
Density / metabolic bone disease
|
Osteoporosis (Juvenile) · Osteopenia · Osteomalacia
|
|
|
Continuity of bone
|
Pseudarthrosis · Stress fracture
|
|
|
Other
|
Fibrous dysplasia (Monostotic, Polyostotic) · Skeletal fluorosis · bone cyst (Aneurysmal bone cyst) · Hyperostosis (Infantile cortical hyperostosis) · Osteosclerosis (Melorheostosis)
|
|
|
|
Bone resorption
|
Osteolysis · Hajdu-Cheney syndrome · Ainhum
|
|
|
Ischemia
|
Avascular necrosis (Osteonecrosis of the jaw)
|
|
|
Other
|
Paget's disease of bone · Algoneurodystrophy · Hypertrophic pulmonary osteoarthropathy · Nonossifying fibroma
|
|
|
| Chondropathies |
|
Chondritis
|
Relapsing polychondritis
|
|
|
Other
|
Tietze's syndrome
|
|
|
| Both |
|
Osteochondritis
|
Osteochondritis dissecans
|
|
|
Juvenile osteochondrosis
|
lower limb: hip (Legg–Calvé–Perthes syndrome) · tibia (Osgood-Schlatter disease, Blount's disease) · foot (Köhler disease, Sever's disease)
spine (Scheuermann’s disease)
upper limb: wrist (Kienbock's disease) · elbow (Panner disease)
|
|
|
|
|
anat (c/f/k/f, u, t/p, l)/phys/devp/cell
|
noco/cong/tumr, sysi/epon, injr
|
|
|
|
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Age at symptom onset in ankylosing spondylitis: is there a gender difference?
- Ciurea A1, Scherer A2, Weber U3, Neuenschwander R4, Tamborrini G5, Exer P6, Bernhard J7, Villiger PM8, Kissling R3, Michel BA1, Stekhoven D2; rheumatologists of the Swiss Clinical Quality Management Program for axial spondyloarthritis.
- Annals of the rheumatic diseases.Ann Rheum Dis.2014 Oct;73(10):1908-10. doi: 10.1136/annrheumdis-2014-205613. Epub 2014 Aug 7.
- PMID 25104774
- First-time prescriptions of biological disease-modifying antirheumatic drugs in rheumatoid arthritis, psoriatic arthritis and axial spondyloarthritis 2002-2011: data from the NOR-DMARD register.
- Lie E1, Fagerli KM1, Mikkelsen K2, Rødevand E3, Lexberg A4, Kalstad S5, Uhlig T1, Kvien TK1.
- Annals of the rheumatic diseases.Ann Rheum Dis.2014 Oct;73(10):1905-6. doi: 10.1136/annrheumdis-2014-205490. Epub 2014 Jul 2.
- PMID 24989896
- Serum levels of novel noggin and sclerostin-immune complexes are elevated in ankylosing spondylitis.
- Tsui FW1, Tsui HW2, Las Heras F3, Pritzker KP4, Inman RD1.
- Annals of the rheumatic diseases.Ann Rheum Dis.2014 Oct;73(10):1873-9. doi: 10.1136/annrheumdis-2013-203630. Epub 2013 Jul 26.
- BACKGROUND: Unravelling the basis of joint inflammation and ankylosis represents a major challenge in ankylosing spondylitis (AS) research. As noggin (NOG) and sclerostin (SOST) have recently been associated with the disease process in mouse and human studies, respectively, we explored the immune re
- PMID 23894062
Japanese Journal
- 今月の症例 Salmonella enterica ssp. arizonae菌血症に腸腰筋膿瘍および胸位椎間板炎を合併した78歳女性の1例
- 長期間抗抗TNF-α製剤を投与した強直性脊椎炎の2例
- The diagnostic dilemma of tumor induced osteomalacia: a retrospective analysis of 144 cases
Related Links
- Ankylosing spondylitis, spondyloarthritis and related disease information, education and support. Ankylosing spondylitis and spondyloarthritis symptoms, diagnosis, treatment, medication, educational materials, brochures. Axial ...
- Ankylosing spondylitis, spondyloarthritis and related disease information, education and support. Ankylosing spondylitis and spondyloarthritis symptoms, diagnosis, treatment, medication, educational materials, brochures. Axial ...
★リンクテーブル★
[★]
- spondyl
- 英
- spondylitis
- 関
- 脊椎カリエス
[show details]
[★]
リウマチ性脊椎炎
- 関
- ankylosing spondylitis、Bechterew's disease