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Review
. 2020 Sep 1;4(2):rkaa043.
doi: 10.1093/rap/rkaa043. eCollection 2020.

BSR Spondyloarthritis Course, 27 February 2020. Spondyloarthritis: pathogenesis, diagnosis and management

Helena Marzo-Ortega  1   2 , Ai Lyn Tan  1   2 , Dennis McGonagle  1   2 , David Pickles  1 , Sayam Dubash  1   2 , Claire Y Vandevelde  1   2 , Laura C Coates  3 , Stefan Siebert  4 , Philip S Helliwell  1   2
Affiliations
Review

BSR Spondyloarthritis Course, 27 February 2020. Spondyloarthritis: pathogenesis, diagnosis and management

Helena Marzo-Ortega et al. Rheumatol Adv Pract. .

Abstract

High-quality continuous medical education is essential to maintain excellence in health-care delivery, upskilling professionals and improving patient outcomes. This is particularly relevant when addressing rare disease groups, such as the spondyloarthritides, a group of heterogeneous inflammatory conditions that affect joints and other organs, such as the skin, bowel and eye. Professional bodies, such as the British Society for Rheumatology (BSR), are well placed to deliver this type of education. In 2020, the BSR ran a dedicated SpA course aimed at rheumatology health-care professionals wishing to update their basic knowledge of SpA with a review of the latest advances in the field. Here, we summarize the proceedings of the meeting and discuss the value of such an initiative.

Keywords: axial spondyloarthritis; continuous medical education; imaging; medical education; psoriatic arthritis; rheumatology; spondyloarthritis; treatment.

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Figures

<sc>Fig</sc>. 1
Fig. 1
Historical look at the classification criteria for spondyloarthritis IBP: inflammatory back pain; LBP: low back pain.
<sc>Fig</sc>. 2
Fig. 2
Evolution of the understanding of the synovio-entheseal complex The blind people and the elephant analogy is used here to explain the conceptual understanding of the synovio-entheseal complex over the past decades. The basic structures (i.e. the tendon/ligament or joint capsule and bone), when put together, form the early description of the enthesis. The enthesis organ was later acknowledged owing to the function of the enthesis in close proximity to other structures, such as the fibrocartilage. More recently, with further advances in understanding of the pathogenesis of SpA, the interplay with the synovium that contributes synergistically to the inflammatory process of enthesitis led to the term synovio-entheseal complex [37, 38]. Adapted from a poem by John Godfrey Saxe (Cartoon originally copyrighted by the authors; G. Renee Guzlas, artist).
See this image and copyright information in PMC

References

    1. Mathieson HR, Merashli M, Gaffney K, Marzo-Ortega H, On behalf of BRITSpA (British Society for Spondyloarthritis). Poor awareness of inflammatory back pain and axial spondyloarthritis among secondary care specialists. Clin Rheumatol 2016;35:2627–8. - PubMed
    1. Jois RN, Macgregor AJ, Gaffney K. Recognition of inflammatory back pain and ankylosing spondylitis in primary care. Rheumatology (Oxford) 2008;47:1364–6. - PubMed
    1. Wright V, Moll JMH. Seronegative polyarthritis. Amsterdam: North Holland Publishing Co, 1976.
    1. Brewerton DA, Hart FD, Nicholls A, et al.Ankylosing spondylitis and HL-A27. Lancet 1973;302:994–6. - PubMed
    1. Taylor W, Gladman D, Helliwell P. et al. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum 2006;54:2665–73. - PubMed

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