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Correspondence response
Improving recognition of spondyloarthropathy in primary care: an unmet need
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Thank you for the opportunity to respond to Maxwell et al’s letter and their insightful comments regarding the delay to diagnosis in axial spondyloarthritis (axSpA). In their audit of patients with coexisting chronic back pain and acute anterior uveitis (AAU), it was noted that such patients are poorly evaluated for suspected SpA at primary-care level.1
Poor recognition and consequent late referral remains a major stumbling block towards ‘overall success’ in axSpA. In our Dublin Uveitis Evaluation Tool (DUET) study, we also found that 62% of patients with undiagnosed SpA had previously consulted either their general practitioner (GP) or other allied health professionals with their backache but the diagnosis of SpA …