Signs and symptoms of Ankylosing spondylitis

Symptoms usually appear early morning or after inactivity.

Axial

• lower back pain
• stiffness of back
• Pain radiates to the buttock – persistant buttock pain
• painful sacroiliac joint
• Flattening of lumbar curvature
• Decreased chest expansion – respiratory difficulty

Peripheral

• Ankle, knee, elbow
• enthesitis (heel – Achilles tendon)

Extraarticular

• Fatigue (sleep disturbance)
• Cardiac – aortic insufficiency –> CHF
• anterior uveitis
• AV block (III degree)
• GIT – IBD