title: [Prognosis in ankylosing spondylitis].
abstract: Based on the literature we describe the prognosis and natural history of ankylosing spondylitis. The data on mortality are controversial and it seems that only a small group of patient show a decreased survival. It is a chronic disease with most prominent features of pain and increasing stiffness during the first decade. After a course of 40 years 90% of patients have none or only mild disability. Generally quality of life is slightly reduced. Most patients remain engaged in full-time employment, but job adaptations are often unavoidable and vocational counseling seems to be worthwhile.
authors.affiliation: Medizinisches Zentrum, Abt. Rheumatologie, Bad Ragaz.
authors.forename: U
authors.initials: U
authors.lastname: Diethelm
authors.forename: G
authors.initials: G
authors.lastname: Schüler
mesh_terms: D000203:Activities of Daily Living; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis; D011788:Quality of Life; D012050:Rehabilitation, Vocational; D013167:Spondylitis, Ankylosing / Q000401:mortality* / Q000523:psychology / Q000628:therapy; D014830:Vocational Guidance
vernacular_title: Die Prognose der ankylosierenden Spondylitis.