SPINEACHE: a mnemonic for the clinical parameters of the ASAS classification for axial spondyloarthritis.
Sacroiliitis on Imaging (by radiograph or MRI) + ≥ 1 clinical measure |
HLA-B27 + ≥ 2 other clinical measures |
Clinical measures |
SPINEACHE |
Sausage digit (dactylitis) |
Psoriasis-positive family history of SpA |
Inflammatory back pain |
NSAID good response |
Enthesitis (heel) |
Arthritis |
Crohn’s/colitis disease — elevated CRP |
HLA-B27 |
Eye (uveitis) |
MRI: magnetic resonance imaging; NSAID: nonsteroidal antiinflammatory drugs; CRP: C-reactive protein