Fibromyalgie ist für Menschen mit einer entzündlichen Erkrankung der Wirbelsäule teuer

Patienten mit axialer Spondyloarthritis, die die Wirbelsäule betreffen, sind häufig von Fibromyalgie betroffen, wodurch sich die Auswirkungen der Erkrankung auf ihre Lebensqualität verschlechtern. 
Obwohl die körperliche und psychische Gesundheit beeinträchtigt wurde, wirkte sich das Auftreten von Fibromyalgie nicht auf das Entzündungsniveau aus, oder die meisten Symptome der Erkrankung standen nicht im Zusammenhang mit der Wirbelsäule.

Die Studie “Das gleichzeitige Auftreten von axialer Spondyloarthritis und Fibromyalgie: Ergebnisse eines nationalen Registers (BSRBR-AS)” wurde auf der Sitzung der Rheumatologie 2017 am 25. und 27. April in Birmingham, England, vorgestellt. 
Die axiale Spondyloarthritis ist ein Zustand, bei dem eine Entzündung im Rücken bestimmte Wirbelkörper verschmelzen lässt, wodurch der Patient eine gebogene Position einnehmen kann. 
Im Gegensatz zu Fibromyalgie tritt die Krankheit bei Männern häufiger auf. 
Ärzte haben festgestellt, dass Fibromyalgie manchmal bei diesen Patienten auftritt. Bisher waren die beiden Bedingungen nicht Teil einer gemeinsamen Studie.

Ein Forschungsteam der Universität von Aberdeen in Großbritannien hat Patienten der British Society of Rheumatology Biological rekrutiert und registriert jetzt die Bechterew-Krankheit (BSRBR-AS). 
Seit 2015 werden auch Patienten, die in das Register aufgenommen werden, auf Fibromyalgie untersucht. 
Von den 886 Patienten, die in die Studie einbezogen wurden, waren 69% männlich und 17,7% oder bei jedem sechsten Patienten wurde Fibromyalgie diagnostiziert. 
Patienten, die vor kurzem mit der Behandlung von Antikörpern gegen Tumor-Nekrose-Faktor (TNF) begonnen hatten, um die Entzündung zu behandeln, oder die niemals biologische Mittel verwendet haben.

Die axiale Spondylitis und die Fibromyalgie erreichten die höchste Bewertung hinsichtlich der Schwere und der Auswirkungen des Zustands der Wirbelsäule. 
Sie hatten auch häufiger Angstzustände, Depressionen und starke Müdigkeit. 
Bei Bewertungen, die sich auf die Lebensqualitätswerte beziehen, fielen sie ebenfalls schlechter aus. 
Während nur 3% der Patienten mit axialer Spondyloarthritis sagten, dass die Arbeit nicht das Ergebnis ihrer Erkrankung war, berichteten 17% der Befragten mit beiden Erkrankungen über Fehlzeiten.

Wenn sie arbeiten, sagen 52% der Patienten mit Fibromyalgie, dass sich ihre Arbeit um etwa die Hälfte verschlechtert hat. 
Im Gegensatz dazu betrug die Anzahl der Patienten mit Spondyloarthritis ohne Fibromyalgie 23% in derselben Situation. 
Die CRP-Spiegel, ein Entzündungsmarker, waren in beiden Patientengruppen ähnlich. 
Das einzige nicht spinale Symptom, das bei Menschen mit Fibromyalgie häufiger auftrat, waren geschwollene Gelenke.

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