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An article on Medscape.com answers the question of how ankylosing spondylitis should now be treated.
Stephen Paget, MD states in the article, "When I make a diagnosis of AS, I begin an NSAID for pain and inflammation control, recommend lifelong physical therapy, plant a 5 TU PPD, order hepatitis B and C serologies, and begin the process of getting approval for one of the anti-TNF medications in order to control the systemic disorder, improve function, and prevent damage. I usually don't choose etanercept because it is less effective in preventing and treating uveitis and controlling possible occult or defined inflammatory bowel disease. AS is a systemic, inflammatory disorder that shortens life and profoundly alters function and mobility. This demands the best possible medication: TNF-alpha antagonists."
To read the entire article, click here (note it requires Medscape.com registration). >>>
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