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Ankylosing spondylitis/AS is a common type of arthritis that can cause damage to spinal structures, body parts, and organs. Ankylosing spondylitis causes inflammation in the spine’s ligaments and joints which can cause affected vertebrae to fuse, but other symptoms/complications are skin disorders. Ankylosing spondylitis flare-ups can present with skin disorders like rashes and the possible development of skin diseases like psoriasis.
Table of Contents
Ankylosing Spondylitis
The inflammation causes back stiffness and pain that causes the spine to become inflexible and rigid. The vertebrae can fuse in extreme cases.
- It is typically seen in the early adult population as back pain and hip pain.
- Symptoms are more common in individuals between 17 and 45.
- Men are more likely to be affected than women.
- Genetics can play a role in this condition.
Doctors utilize multiple approaches to relieve symptoms and manage the condition through combined exercise, chiropractic, physical therapy, diet, and stress management to help improve quality of life.
Skin Disorders
A flare-up can present as a skin rash but can also affect the skin in other ways that include:
- Rashes brought on by medication treatments.
- Trouble healing from incisions after surgery.
Psoriasis
- Psoriasis presents as red skin patches appearing anywhere on the body.
- The most common areas are the scalp, palms, elbows, and knees.
- The affected skin can itch, become tender, and can also sting and burn.
- Some psoriasis outbreaks result in lesions or blisters.
Ankylosing Spondylitis vs. Psoriatic Arthritis
- Ankylosing spondylitis and psoriatic arthritis are related and come under spondyloarthritis/SpA rheumatic disease.
- Ankylosing spondylitis is typically localized to the spine, whereas psoriatic arthritis can affect almost any joint in the body and presents with tendinopathy.
- Some individuals with AS can begin to develop psoriasis.
Management
Doctors are currently treating psoriasis with multiple treatment options that can include:
- Topical agents such as vitamin D analogs.
- Corticosteroids can help with pain and swelling.
- Non-steroidal topical agents can be used for facial and flexible body parts like the armpits, elbows, and back of the knees.
- Light/phototherapy using narrow-band UV-B light.
- Medications can also help but can produce side effects.
Ankylosing spondylitis skin disorders present ongoing challenges. However, increasing treatment options are helping to minimize the condition’s impact to a better quality of life.
AS Causes, Symptoms, Diagnosis, Treatment
References
Meier, Katharina, et al. “Skin manifestations in spondyloarthritis.” Therapeutic advances in musculoskeletal disease vol. 12 1759720X20975915. 8 Dec. 2020, doi:10.1177/1759720X20975915
Myers, Elisha et al. “An Update on Narrowband Ultraviolet B Therapy for the Treatment of Skin Diseases.” Cureus vol. 13,11 e19182. 1 Nov. 2021, doi:10.7759/cureus.19182
National Institutes of Health. (n.d.) “Ankylosing spondylitis.” www.niams.nih.gov/health-topics/ankylosing-spondylitis
Ye, Chao, and Wenyuan Li. “Cutaneous vasculitis in a patient with ankylosing spondylitis: A case report.” Medicine vol. 98,3 (2019): e14121. doi:10.1097/MD.0000000000014121
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Professional Scope of Practice *
The information herein on "Skin Disorders From Ankylosing Spondylitis" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*
Our office has reasonably attempted to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.
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