Spondyloarthritis session with Dr. Sheets

[Guest guest]

M. Sheets M.D. is a Pediatric Rheumatologist with Children's

Specialists of San Diego and Children's Hospital and Health Center

Services. Practice locations include San Diego, Escondido, Murrieta,

Moreno Valley and El Centro, CA. He has been practicing pediatric

rheumatology since 1990. His work is clinical without emphasis on

research.

I attended the spondyloarthritis session given by Dr. Sheets.

My notes are sketchy; Dr. Sheets had more of a case study presentation

along with question and answer period. Here are the notes I took during

the session:

Terminology in spondyloarthritis has changed over the years. A variety of

terms have been used: including psoriasis, IBD related, Reiter's,

Ankylosing Spondylitis, and undifferentiated spondyloarthropathy. A newer

term now being used is enthesitis-related arthritis. Different doctors

will use different terms.

Enthesitis refers to the inflammation of tendons or ligaments where they

connect to the bone. This is a key sign of spondyloarthropathy.

Some children start with a diagnosis of oligoarticular arthritis and then

are later diagnosed as spondy.

20% of people with psoriasis develop arthritis. Sometimes, the arthritis

develops prior to the psoriasis.

The trigger for spondyloarthritis and related conditions can sometimes be

an active infection, something that triggers the immune system into

becoming very active.

There have been amazingly good results with the TNF alpha inhibitor drugs

when used in spondyloarthropathy.

Patients who have been diagnosed with undifferentiated

spondyloarthropathy should be watched carefully for symptoms of

inflammatory bowel disease, such as weight loss and diarrhea.

What's new in treatment: agressive methotrexate treatment wtih

injections, and then on to the TNF inhibitors if the patient is not

pain-free. His goal for his patients is 'no pain'.

With older kids who present wtih peripheral arthritis (hips, knees,

ankles), often if untreated, they will progress to axial disease (spinal

involvement).

The HLA-B27 gene is linked to spondyloarthropathy. However, not everyone

who has the gene develops arthritis. Interestingly enough, 30-40% of the

American Indian population are HLA-B27 positive.

I realize that these notes are all over the place but so was his speech.

I did get a lot out of it, and the follow-up round table discussion the

next hour allowed me to ask him specific questions about . I

learned a lot.

[Guest guest]

Thanks, . You know me, I am always looking for info on spondy. I

read the line about weight loss and I know in my heart that is part of

Chris' problem. All of the posts I have read so far, your notes from the

meetings, have been great. I really am thinking next year I should try

to go. Thanks again, Michele ( 17, pauci & spondy)

Spondyloarthritis session with Dr. Sheets

M. Sheets M.D. is a Pediatric Rheumatologist with Children's

Specialists of San Diego and Children's Hospital and Health Center

Services. Practice locations include San Diego, Escondido, Murrieta,

Moreno Valley and El Centro, CA. He has been practicing pediatric

rheumatology since 1990. His work is clinical without emphasis on

research.

I attended the spondyloarthritis session given by Dr. Sheets.

My notes are sketchy; Dr. Sheets had more of a case study presentation

along with question and answer period. Here are the notes I took during

the session:

Terminology in spondyloarthritis has changed over the years. A variety

of terms have been used: including psoriasis, IBD related, Reiter's,

Ankylosing Spondylitis, and undifferentiated spondyloarthropathy. A

newer term now being used is enthesitis-related arthritis. Different

doctors will use different terms.

Enthesitis refers to the inflammation of tendons or ligaments where they

connect to the bone. This is a key sign of spondyloarthropathy.

Some children start with a diagnosis of oligoarticular arthritis and

then are later diagnosed as spondy.

20% of people with psoriasis develop arthritis. Sometimes, the arthritis

develops prior to the psoriasis.

The trigger for spondyloarthritis and related conditions can sometimes

be an active infection, something that triggers the immune system into

becoming very active.

There have been amazingly good results with the TNF alpha inhibitor

drugs when used in spondyloarthropathy.

Patients who have been diagnosed with undifferentiated

spondyloarthropathy should be watched carefully for symptoms of

inflammatory bowel disease, such as weight loss and diarrhea.

What's new in treatment: agressive methotrexate treatment wtih

injections, and then on to the TNF inhibitors if the patient is not

pain-free. His goal for his patients is 'no pain'.

With older kids who present wtih peripheral arthritis (hips, knees,

ankles), often if untreated, they will progress to axial disease (spinal

involvement).

The HLA-B27 gene is linked to spondyloarthropathy. However, not everyone

who has the gene develops arthritis. Interestingly enough, 30-40% of the

American Indian population are HLA-B27 positive.

I realize that these notes are all over the place but so was his speech.

I did get a lot out of it, and the follow-up round table discussion the

next hour allowed me to ask him specific questions about . I

learned a lot.

[Guest guest]

Mentions psoriasis in this one as well. posted this years ago as you can

see . I am a bit of a packrat! Michele

Spondyloarthritis session with Dr. Sheets

M. Sheets M.D. is a Pediatric Rheumatologist with Children's

Specialists of San Diego and Children's Hospital and Health Center

Services. Practice locations include San Diego, Escondido, Murrieta,

Moreno Valley and El Centro, CA. He has been practicing pediatric

rheumatology since 1990. His work is clinical without emphasis on

research.

I attended the spondyloarthritis session given by Dr. Sheets.

My notes are sketchy; Dr. Sheets had more of a case study presentation

along with question and answer period. Here are the notes I took during

the session:

Terminology in spondyloarthritis has changed over the years. A variety of

terms have been used: including psoriasis, IBD related, Reiter's,

Ankylosing Spondylitis, and undifferentiated spondyloarthropathy. A newer

term now being used is enthesitis-related arthritis. Different doctors

will use different terms.

Enthesitis refers to the inflammation of tendons or ligaments where they

connect to the bone. This is a key sign of spondyloarthropathy.

Some children start with a diagnosis of oligoarticular arthritis and then

are later diagnosed as spondy.

20% of people with psoriasis develop arthritis. Sometimes, the arthritis

develops prior to the psoriasis.

The trigger for spondyloarthritis and related conditions can sometimes be

an active infection, something that triggers the immune system into

becoming very active.

There have been amazingly good results with the TNF alpha inhibitor drugs

when used in spondyloarthropathy.

Patients who have been diagnosed with undifferentiated

spondyloarthropathy should be watched carefully for symptoms of

inflammatory bowel disease, such as weight loss and diarrhea.

What's new in treatment: agressive methotrexate treatment wtih

injections, and then on to the TNF inhibitors if the patient is not

pain-free. His goal for his patients is 'no pain'.

With older kids who present wtih peripheral arthritis (hips, knees,

ankles), often if untreated, they will progress to axial disease (spinal

involvement).

The HLA-B27 gene is linked to spondyloarthropathy. However, not everyone

who has the gene develops arthritis. Interestingly enough, 30-40% of the

American Indian population are HLA-B27 positive.

I realize that these notes are all over the place but so was his speech.

I did get a lot out of it, and the follow-up round table discussion the

next hour allowed me to ask him specific questions about . I

learned a lot.

[Guest guest]

Hey,

Dr. Sheets is Rose's rheumatologist. Is anyone else here from the San Diego

area? I know someone who I believe is now an adult e-mailed me months back.

Jo

>

> Mentions psoriasis in this one as well. posted this years ago as you can

see . I am a bit of a packrat! Michele

>

> Spondyloarthritis session with Dr. Sheets

>

> M. Sheets M.D. is a Pediatric Rheumatologist with Children's

> Specialists of San Diego and Children's Hospital and Health Center

> Services. Practice locations include San Diego, Escondido, Murrieta,

> Moreno Valley and El Centro, CA. He has been practicing pediatric

> rheumatology since 1990. His work is clinical without emphasis on

> research.

>

> I attended the spondyloarthritis session given by Dr. Sheets.

>

> My notes are sketchy; Dr. Sheets had more of a case study presentation

> along with question and answer period. Here are the notes I took during

> the session:

>

> Terminology in spondyloarthritis has changed over the years. A variety of

> terms have been used: including psoriasis, IBD related, Reiter's,

> Ankylosing Spondylitis, and undifferentiated spondyloarthropathy. A newer

> term now being used is enthesitis-related arthritis. Different doctors

> will use different terms.

>

> Enthesitis refers to the inflammation of tendons or ligaments where they

> connect to the bone. This is a key sign of spondyloarthropathy.

>

> Some children start with a diagnosis of oligoarticular arthritis and then

> are later diagnosed as spondy.

>

> 20% of people with psoriasis develop arthritis. Sometimes, the arthritis

> develops prior to the psoriasis.

>

> The trigger for spondyloarthritis and related conditions can sometimes be

> an active infection, something that triggers the immune system into

> becoming very active.

>

> There have been amazingly good results with the TNF alpha inhibitor drugs

> when used in spondyloarthropathy.

>

> Patients who have been diagnosed with undifferentiated

> spondyloarthropathy should be watched carefully for symptoms of

> inflammatory bowel disease, such as weight loss and diarrhea.

>

> What's new in treatment: agressive methotrexate treatment wtih

> injections, and then on to the TNF inhibitors if the patient is not

> pain-free. His goal for his patients is 'no pain'.

>

> With older kids who present wtih peripheral arthritis (hips, knees,

> ankles), often if untreated, they will progress to axial disease (spinal

> involvement).

>

> The HLA-B27 gene is linked to spondyloarthropathy. However, not everyone

> who has the gene develops arthritis. Interestingly enough, 30-40% of the

> American Indian population are HLA-B27 positive.

>

> I realize that these notes are all over the place but so was his speech.

> I did get a lot out of it, and the follow-up round table discussion the

> next hour allowed me to ask him specific questions about . I

> learned a lot.

>

>