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Ankylosing Spondylitis and the ‘Low-Starch Diet’

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Ankylosing spondylitis and Klebsiella

Abstract

It is the theme of this book that the discovery of HLA-B27 in ankylosing spondylitis in 1973, by the London and Los Angeles groups, has provided rheumatology with the possible cause of this disease, namely, commensal Klebsiella proliferation in the ileo-caecal region and ascending colon following a high intake of dietary starch.

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References

  • Braun J, Brandt J, Listing J, Rudwaleit M, Sieper J. Biologic therapies in spondyloarthritis: new opportunities, new challenges. Curr Opin Rheumatol. 2003;15:394–407.

    Article  PubMed  CAS  Google Scholar 

  • Dougados M, van der Linden S, Leirisalo-Repo M, Huitfeldt B, Juhlin R, Veys E. Sulfasalazine in the treatment of spondyloarthropathy: a randomized multi centre, double blind, placebo controlled study. Arthritis Rheum. 1995;38:618–27.

    Article  PubMed  CAS  Google Scholar 

  • Ebringer A, Wilson C. The use of a low starch diet in the treatment of patients with ankylosing spondylitis. Clin Rheumatol. 1996;15 Suppl 1:61–5.

    Google Scholar 

  • Feltelius N, Hvatum M, Brandtzaeg P, Knutson L, Hallgren R. Increased jejunal secretory IgA and IgM in ankylosing spondylitis: normalization after treatment with sulfasalazine. J Rheumatol. 1994;21:2076–81.

    PubMed  CAS  Google Scholar 

  • Kirwan J, Edwards A, Huitfeldt B, Thompson P, Currey H. The course of established ankylosing spondylitis and the effects of sulphasalazine over 3 years. Br J Rheumatol. 1993;32:729–33.

    Article  PubMed  CAS  Google Scholar 

  • Kroessen S, Widmer AF, Tyndall A, Hasler B. Serious bacterial infections in patients with ­rheumatoid arthritis under anti-TNFα therapy. Rheumatology (Oxford). 2003;42:617–21.

    Article  Google Scholar 

  • Nissila M, Lahesmaa R, Leirisalo-Repo M, Lehtinen K, Toivanen P, Granfors K. Antibodies to Klebsiella pneumoniae, Escherichia coli and Proteus mirabilis in ankylosing spondylitis: effect of sulfasalazine treatment. J Rheumatol. 1994;21:2082–7.

    PubMed  CAS  Google Scholar 

  • Nissila M, Lehtinen K, Leirisalo-Repo M, Luukkainen R, Mutru O, Yli-Kerttula U. Sulfasalazine in the treatment of ankylosing spondylitis. A 26 week, placebo controlled clinical trial. Arthritis Rheum. 1988;31:111–6.

    Google Scholar 

  • Ogrendik M. Treatment of ankylosing spondylitis with moxifloxacine. South Med J. 2007;100:366–70.

    Article  PubMed  Google Scholar 

  • Taggart A, Gardiner P, McEvoy E, Hopkins R, Bird H. Which is the active moiety of sulfasalazine in ankylosing spondylitis? A randomized controlled study. Arthritis Rheum. 1996;39:1400–5.

    Article  PubMed  CAS  Google Scholar 

  • Van Tubergen A, Landewe R, van der Heijde D, Hidding A, Wolter W, Ascher M. Combined spa exercise therapy is effective in patients with ankylosing spondylitis: a randomized controlled trial. Arthritis Rheum. 2001;45:430–8.

    Article  PubMed  Google Scholar 

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© 2013 Springer-Verlag London

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Ebringer, A., Ebringer, A. (2013). Ankylosing Spondylitis and the ‘Low-Starch Diet’. In: Ankylosing spondylitis and Klebsiella. Springer, London. https://doi.org/10.1007/978-1-4471-4300-0_20

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  • DOI: https://doi.org/10.1007/978-1-4471-4300-0_20

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4299-7

  • Online ISBN: 978-1-4471-4300-0

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