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  • Does the co-existence of acute anterior uveitis and chronic back pain prompt primary care physicians to consider a diagnosis of axial spondyloarthritis?

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Does the co-existence of acute anterior uveitis and chronic back pain prompt primary care physicians to consider a diagnosis of axial spondyloarthritis?
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  1. Alexander Maxwell1,
  2. Max Yates1,2,
  3. Paul Everden2,3,
  4. Karl Gaffney1
  1. 1Rheumatology Department, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, Norfolk, UK
  2. 2Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK
  3. 3Birchwood Medical Practice, North Walsham, UK
  1. Correspondence to Dr Alexander Maxwell, Norfolk and Norwich University Hospital NHS Foundation Trust, Rheumatology Department, Colney Lane, Norwich NR4 7UY, UK; alex.maxwell{at}doctors.org.uk

https://doi.org/10.1136/annrheumdis-2015-208983

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    We read with interest the article by Haroon et al1 indicating that approximately 40% of patients with acute anterior uveitis (AAU) have undiagnosed spondyloarthritis. Unfortunately, delay to diagnosis remains a huge challenge in axial spondyloarthritis (axSpA) despite the publication of the Assessment of SpondyloArthritis international Society (ASAS) classification criteria, which formally recognises the role of MRI in diagnosis.2 We recently reported that the mean delay in diagnosis among 1193 patients attending two large secondary care centres in the UK was 8.5 years.3 Despite a 51% increase in new diagnoses since 2009, the delay in diagnosis has not improved and the presence of AAU was associated …

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