Rheumatology
Axial Spondyloarthritis
NICE NG65 — inflammatory back pain ASAS criteria, HLA-B27, MRI sacroiliac joints, NSAIDs, biologics (TNF / IL-17), comorbidities.
Source: NICE NG65; ASAS / EULAR 2022
Step 1 of ~3
info
Recognise — Inflammatory Back Pain
Calin / Berlin / ASAS criteria — 4 of 5 of: age <40 onset; insidious; >3 months duration; better with exercise; not better with rest; alternating buttock pain; nocturnal pain (especially second half of night). NICE referral if: 4 of 5 criteria + back pain >3 months + age <45 — refer rheumatology. Other features supporting axSpA: dactylitis, enthesitis (Achilles, plantar), uveitis, IBD, psoriasis, family history, response to NSAIDs.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Dapsone · Anti-inflammatory / Antimicrobial
- Colchicine · Anti-inflammatory — Neutrophilic Dermatoses / Vasculitis
- Methoxyflurane · Inhaled Analgesic — Acute Pain
- Diclofenac · Non-Steroidal Anti-Inflammatory Drug (NSAID)
- Colchicine (Acute Gout) · Anti-Inflammatory (Microtubule Inhibitor)
- Diclofenac · NSAID (Non-Steroidal Anti-Inflammatory Drug)
Pathways
- Cutaneous Lupus Erythematosus · BAD; EULAR
- Osteoporosis / Fragility Fracture · NOGG 2021; NICE NG147; NG224
- Arteritic AION (Giant Cell Arteritis) · RCOphth; BSR
- Osteoarthritis Hip / Knee Management · NICE NG226 (2022)
- Lupus Nephritis · EULAR/ERA-EDTA 2019; KDIGO 2024
- Rheumatoid Arthritis Management · NICE CG79 2018 / EULAR 2022
Decision support only. Always apply local guidelines and clinical judgement.