Be aware that axial and peripheral SpA may be missed, even if the onset is associated with established comorbidities (for example, uveitis, psoriasis, inflammatory bowel disease [Crohn's disease or ulcerative colitis], or a gastrointestinal or genitourinary infection).

 

Spondylo-arthropathy considerations

MSK manifestations

  • Inflammatory Back Pain
  • Enthesitis
  • Dactylitis

Extra-articular manifestations

  • Uveitis
  • Psoriasis (incl. Psoriatic nail symptoms)

Risk factors

  • Recent genitourinary infection
  • Family history of SpA or psoriasis

 

Further info - Identifying and referring spondyloarthritis (BMJ)