Journal ArticleDOI
Age at symptom onset in ankylosing spondylitis: is there a gender difference?
Adrian Ciurea,Almut Scherer,Ulrich Weber,Regula Neuenschwander,Giorgio Tamborrini,Pascale Exer,Jürg Bernhard,Peter M. Villiger,Rudolf O. Kissling,Beat A. Michel,Daniel J. Stekhoven +10 more
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TLDR
The impact of human leukocyte antigen (HLA)-B27 on the age at disease onset in patients with ankylosing spondylitis (AS) has consistently been shown in several cohorts, but a potential gender difference with respect to age at symptom onset remains controversial.Abstract:
The impact of human leukocyte antigen (HLA)-B27 on the age at disease onset in patients with ankylosing spondylitis (AS) has consistently been shown in several cohorts.1–4 A potential gender difference with respect to age at symptom onset remains, however, controversial5–8 as the distribution of HLA-B27 within these populations is not known in all studies. While no sex differences with regard to disease onset were found in several cohorts from Europe,5 ,6 a later disease onset in men was reported in a North American investigation.7 We analysed this issue within the ongoing Swiss Clinical Quality Management cohort of patients with axial spondyloarthritis (axSpA).9 Ethics approval was given by the regional review boards. Informed consent was obtained from all patients.
From a total of 3046 spondyloarthritis patients recruited until June 2014, 2098 (1294 men, 804 women) were included in this analysis, as they fulfilled the Assessment in SpondyloArthritis International Society (ASAS) classification criteria, with the following minor modifications, as the cohort was initiated before the publication of these criteria.9 First, …read more
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Journal ArticleDOI
Gender differences among patients with primary ankylosing spondylitis and spondylitis associated with psoriasis and inflammatory bowel disease in an iberoamerican spondyloarthritis cohort.
Margarita Landi,Hernan Maldonado-Ficco,Rodolfo Perez-Alamino,José A. Maldonado-Cocco,Gustavo Citera,Pablo Arturi,Percival D. Sampaio-Barros,Diana Elsa Flores Alvarado,Rubén Burgos-Vargas,Elena Santos,Daniel Palleiro,Miguel A Gutiérrez,Elsa Vieyra-Sousa,Fernando Pimentel-Santos,Sergio Paira,Alberto Berman,Claudia Vera Barrezueta,Janitzia Vázquez-Mellado,Eduardo Collantes-Estevez +18 more
TL;DR: Overall, male patients were significantly younger, had longer diagnostic delay, lower disease activity, worse spinal mobility, better quality of life, and more severe radiologic damage than women, suggesting that the phenotype of SpA differs between genders.
Journal ArticleDOI
New advances in the understanding and treatment of axial spondyloarthritis: from chance to choice.
Sayam Dubash,Sayam Dubash,Dennis McGonagle,Dennis McGonagle,Helena Marzo-Ortega,Helena Marzo-Ortega +5 more
TL;DR: This review summarizes the current literature on axSpA including pathophysiology, treatment indications, radiographic progression and the evidence for new developments in the treatment of both AS and nr-axSpA.
Journal ArticleDOI
Spondyloarthritis, Acute Anterior Uveitis, and Fungi: Updating the Catterall-King Hypothesis.
TL;DR: Evidence reviewed here lends credence to the Catterall–King hypothesis and implicates a common fungal etiology in prostate cancer, benign prostatic hyperplasia, multiple sclerosis, psoriasis, inflammatory bowel disease, and spondyloarthritis.
Journal ArticleDOI
Response to Tumor Necrosis Factor Inhibition in Male and Female Patients with Ankylosing Spondylitis: Data from a Swiss Cohort.
Monika Hebeisen,Regula Neuenschwander,Almut Scherer,Pascale Exer,Ulrich Weber,Giorgio Tamborrini,Raphael Micheroli,Lukas M Wildi,Pascal Zufferey,Michael John Nissen,Peter M. Villiger,Jürg Bernhard,Axel Finckh,Irene E. van der Horst-Bruinsma,Joachim Sieper,Robert Landewé,Robert Landewé,Désirée van der Heijde,Désirée van der Heijde,Adrian Ciurea,Adrian Ciurea +20 more
TL;DR: Investigating sex differences in connection with the effectiveness of tumor necrosis factor inhibitors (TNFi) in patients with ankylosing spondylitis found fewer women respond to TNFi and women show a reduced response in comparison to men.
Journal ArticleDOI
Nonendocrine mechanisms of sex bias in rheumatic diseases.
TL;DR: This Review outlines several genetic and epigenetic mechanisms that could explain sex bias in rheumatic diseases, including X chromosome inactivation, sex chromosome aneuploidy and microchimerism, considering evidence from clinical and experimental studies.
References
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Journal ArticleDOI
Age at disease onset and diagnosis delay in HLA-B27 negative vs. positive patients with ankylosing spondylitis
Ernst Feldtkeller,Muhammad Asim Khan,Désirée van der Heijde,Sjef van der Linden,Jürgen Braun +4 more
TL;DR: This study of a much larger number of B27– AS patients than have been studied previously confirms earlier reports indicating a significantly older average age at disease onset and a less frequent prevalence of acute anterior uveitis in B 27– than in B27+ AS.
Journal ArticleDOI
The early disease stage in axial spondylarthritis: results from the German Spondyloarthritis Inception Cohort.
Martin Rudwaleit,Hildrun Haibel,Xenofon Baraliakos,Joachim Listing,Elisabeth Märker-Hermann,Henning Zeidler,Jürgen Braun,Joachim Sieper +7 more
TL;DR: Clinical manifestations and disease activity measures are highly comparable between patients with early nonradiographic axial SpA and those with early AS, suggesting that these 2 entities are part of the same disease.
Journal ArticleDOI
Are there gender differences in severity of ankylosing spondylitis? Results from the PSOAS cohort
Wonuk Lee,John D. Reveille,John C. Davis,Thomas J. Learch,Michael M. Ward,Michael H. Weisman +5 more
TL;DR: Among patients with longstanding AS, men have more severe radiographic changes; findings of treatment differences suggest that women may have more peripheral arthritis.
Journal ArticleDOI
Scientific contributions of ankylosing spondylitis patient advocacy groups.
TL;DR: The speed at which spinal ankylosis progresses is slower in female patients, but women are in a significantly worse situation than men in terms of pain and the need for drug therapy, even though the women in the German Ankylosing Spondylitis Society sample are, on average, younger than the men and have a shorter average disease duration.
Journal ArticleDOI
HLA-B27 positive patients differ from HLA-B27 negative patients in clinical presentation and imaging: results from the DESIR cohort of patients with recent onset axial spondyloarthritis
Ho Yin Chung,Pedro Machado,Désirée Van Der Heijde,Maria Antonietta D'Agostino,Maxime Dougados +4 more
TL;DR: In early axial SpA, HLA-B27 is associated with earlier onset of IBP, less delay in diagnosis, axial inflammation (spine and SIJ), radiographic damage of the SIJ, decreased disease activity and lower frequency of psoriasis.
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