Axial spondyloarthritis (axSpA) typically impacts young people, with diagnosis based on chronic inflammatory back pain lasting more than three months with onset under 45 years of age. Advanced disease can lead to progressive and pathologic bone formation and joint fusion, severely limiting spinal mobility.
Global reported prevalence of axSpA ranges from 0.5% to 1.5%. AxSpA can be categorized by disease progression into two subtypes: non-radiographic axSpA and ankylosing spondylitis (AS), also known as radiographic axSpA, which is diagnosed based on radiographic evidence of structural changes to the sacroiliac joints.
Patients with axSpA experience fatigue, persistent morning stiffness, and pain that worsens at night and can disrupt sleep. Many patients also face the burden of comorbidities such as arthritis, psoriasis, and uveitis. Studies have found elevated IL-17 levels in the blood and synovial fluid of patients with axSpA, and IL-17A and IL-17F are both thought to be key contributors to pathogenesis across the spondyloarthropathies.
References:
1. Magrey MN, et al. Mayo Clin Proc. 2020; 95(11):2499–2508.
2. Tsukazaki H & Kaito T. Int J Mol Sci. 2020; 21(17):6401.
3. Sieper J & Poddubnyy D. Lancet. 2017; 390(10089):73–84.
4. McGonagle DG, et al. Ann Rheum Dis. 2019; 78(9):1167–1178.
Palmoplantar Pustulosis (PPP)
Psoriasis (PsO)