Does ankylosing spondylitis spread by contagion?

Written by Li Jing
Rheumatology
Updated on September 14, 2024
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Ankylosing spondylitis is a systemic autoimmune disease of unknown cause, primarily affecting the axial joints, mainly involving the sacroiliac joints, and commonly occurring in young and middle-aged males. The symptoms of this disease are severe, progress rapidly, and there is a genetic predisposition, but it is not a contagious disease and does not have infectivity. If a patient with ankylosing spondylitis also contracts another infectious disease, it is because the other disease is infectious, not because ankylosing spondylitis is. It belongs to autoimmune diseases and cannot be cured, but can only be managed with medication to delay the onset of joint deformity.

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Written by Yang Ya Meng
Rheumatology
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Can people with ankylosing spondylitis drink alcohol?

Patients with ankylosing spondylitis are advised not to drink alcohol. This is because alcohol consumption often harms the stomach, and patients with ankylosing spondylitis, due to the needs of their condition and the long-term pain they suffer, need to take non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief over a long period. NSAIDs can also damage the gastric mucosa, causing mild erosions or even severe complications such as gastric ulcers and bleeding. Therefore, if patients with ankylosing spondylitis drink alcohol while also taking NSAIDs, they are very likely to develop gastric lesions. Thus, it is not recommended for those with ankylosing spondylitis to consume alcohol. (Medication should be used under the guidance of a professional doctor.)

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Written by Li Jing
Rheumatology
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Ankylosing Spondylitis Exercise Methods

Ankylosing spondylitis is an autoimmune disease that primarily affects the axial joints and currently has no curative treatment. Its treatment includes general measures, medication, and surgery. General measures mainly involve abstaining from alcohol, quitting smoking, avoiding carbonated drinks and coffee, which can lead to osteoporosis. In addition, it is important to focus on exercise; functional exercises are a crucial part of its treatment. Regular activities such as swimming, walking, and running are recommended, and chest-expanding exercises can improve muscle rigidity. Moreover, it is advisable to sleep on a hard bed to keep the spine level. Swimming is the best form of exercise for patients with ankylosing spondylitis as it does not overload the joints while also enhancing the coordination and flexibility of the limb muscles.

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Written by Li Jing
Rheumatology
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What injections are used for ankylosing spondylitis?

Firstly, ankylosing spondylitis is an autoimmune disease primarily characterized by the destruction of axial joints, a chronic condition that can also manifest peripheral joint lesions. Currently, there are no definitive cures, meaning long-term medication is necessary to alleviate symptoms, control disease progression, delay joint deformity, reduce disability, and improve quality of life. This constitutes the overall goal of treatment. The preferred treatments are non-steroidal anti-inflammatory drugs (NSAIDs) and biologic agents. However, before using biologic agents, it is essential to complete routine blood tests, erythrocyte sedimentation rate, C-reactive protein, screenings for infectious diseases, and tuberculosis. After excluding infections, tuberculosis, and tumors, biologic agents can be administered. During the use of biologic agents, there is a risk of reduced immunity, making it easy to contract infections. Therefore, it is important to avoid getting cold, overwork, and to regularly recheck routine blood parameters, liver, and kidney functions.

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Written by Li Jing
Rheumatology
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Ankylosing Spondylitis Test Items

Ankylosing spondylitis is a systemic disease of unknown cause, primarily characterized by chronic inflammation of the axial joints. It mainly affects the sacroiliac joints and leads to bony ankylosis, predominantly occurring in males, especially young males. The disease has a significant familial genetic tendency. The main symptoms are pain or discomfort in the lower back and back, typically occurring at night, accompanied by difficulty turning over. Stiffness is evident in the morning or after sitting for a long time, but symptoms may alleviate after physical activity. In young and middle-aged males showing these symptoms, ankylosing spondylitis should be suspected first. The main diagnostic methods include blood tests for HLA-B27, and imaging such as CT or MRI of the sacroiliac joints to detect any sacroiliitis. Diagnosis primarily relies on the combination of symptoms, HLA-B27 results, and sacroiliac joint CT findings.

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Written by Li Jing
Rheumatology
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Can ankylosing spondylitis be cured?

Ankylosing spondylitis is an autoimmune disease, primarily characterized by the involvement of the axial joints. This disease cannot be cured, but its progression can be controlled through medication to delay joint deformity, improve quality of life, and reduce disability rates, which are also the goals of treatment. Middle-aged or young males experiencing stiffness in the neck or pain in the lower back should seek comprehensive examinations, early diagnosis, and treatment as soon as possible.