How to identify ankylosing spondylitis progression?

Question

Hello doctor,

I am a 30-year-old male and have ankylosing spondylitis (AS). I have developed some new symptoms that are worrying me. I am experiencing chest pain when I take deep breaths, and I have noticed some skin rashes on my legs. My appetite has decreased, and I have lost some weight unintentionally. The pain has spread to my neck and shoulders, making it difficult to turn my head. I am also having trouble sleeping due to the discomfort. My mobility is becoming more limited, and I am struggling with daily tasks.

Are these symptoms typical of AS progression?
Should we consider changing my treatment plan?

I am concerned about potential complications and would appreciate your guidance on managing these new developments.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The symptoms you are experiencing chest pain, skin rashes, weight loss, and increased pain in your neck and shoulders could indicate a progression of ankylosing spondylitis (AS) or the potential development of related complications.

1. Chest Pain and Breathing Issues: This could be related to inflammation in the chest area or costovertebral joints, which is not uncommon in AS. It is important to evaluate this with your doctor, as it can affect your lung function.

2. Skin Rashes: This might suggest an extra-articular manifestation or a different underlying condition, such as psoriasis, which can also be associated with AS.

3. Weight Loss and Appetite Changes: Unintentional weight loss and decreased appetite should be investigated further, as they can indicate systemic issues or inflammation.

4. Neck and Shoulder Pain: This may reflect disease progression, affecting more areas of your spine and potentially leading to increased stiffness and mobility limitations.

5. Sleep Issues and Daily Task Difficulties: These are common challenges in chronic pain conditions but should not be overlooked, as they can significantly impact quality of life.

Given these new symptoms, it is crucial to discuss them with your healthcare provider. They may suggest:

Adjusting your current treatment plan, possibly including biologics or other medications.
Imaging studies to assess for structural changes or complications.
Referral to a specialist, such as a rheumatologist or dermatologist, for comprehensive evaluation.
Keep track of your symptoms and any changes, and make sure to communicate openly with your healthcare team. Early intervention can help manage your condition effectively.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.