The National Institute of Clinical Excellence, NICE, published the long awaited clinical guidance for the diagnosis and management of Spondyloarthritis that is suspected or confirmed in adults who are 16 years or older [NG65] last February 2017.

This guidance aims to raise awareness of the features of spondyloarthritis and provide clear advice on what action to take when people with signs and symptoms first present in healthcare settings. It also provides advice on the range of treatments currently available for these patients. An important observation of this guidance in the context of axSpA is the suggestion that plain film X-ray of the sacroiliac joints for people with suspected axial spondyloarthritis should still be offered as the first imaging investigation, unless the person is likely to have an immature skeleton. The guidance covers all forms of Spondyloarthritis including psoriatic arthritis.

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