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Seronegative spondyloarthritides( NO Rheumatoid factor)

CNS Infections>Joint and Spinal Disease's>Inflammatory Joint Disease (Aka Arthritis = Inflammation of Joint)>

Mind Map branch: Seronegative spondyloarthritides( NO Rheumatoid factor) Inflammatory Joint Disease (Aka Arthritis = Inflammation of Joint) Seronegative spondyloarthritides( NO Rheumatoid factor) Rheumatoid factor = Special immune Complex  Absence of Rheumatoid Factor Not same as Rheumatoid arthritis Pathological changes begin in Ligamentous Attachments to bone Rather then Synovium Enthesis = Insertion Fibrous structure to BONE Stuctures that create Enthesis Ligament Joint Capsule Fascia Tendon Properties of Enthesis (all 3 to be called Enthesis) Rich with Nociceptors Poor Blood Supply Poor Healing Synovial joints of Spine Zygapophyseal Joint Costotransverse Joint Costoverteral Joint Atlantodental Joint Atlanto-occipital Joint Sacroiliac Joint Frequent involvement of SI Joint 100% Involvement of SI Joint Sacroiliitis Important sign for Sernogative Spondyloarthritides Peripheral Inflammatory arthropathy or arthritis 50-70% cases Association with HLA B27 HLA B27 Human Leukocyte Antigen 95-97% HLA B27 for Ankylosing Spondylitis 5-7% General Population

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