[GALINA_22]

Сообщение от Dr.Vad

единственное, непонятно почему у Вас острофазовые показатели в норме : серонегативный - это без антител, но маркеры воспаления присутствуют, напр.:

There were 26 patients who had fever as initial presentation of SpA (reactive arthritis 50%, undifferentiated SpA 26.9%, ankylosing spondylitis 15.4%, enteropathic arthritis 3.8%, psoriatic arthritis 3.8%). Peripheral SpA was more common in febrile SpA patients than in control SpA patients (65.4% vs 24.0%, p<0.001).

Febrile SpA patients were less frequently HLA-B27 positive than control SpA patients (52.2% vs 77.0%, p<0.05). At baseline, systemic inflammatory markers were significantly higher in the febrile SpA patients (white blood cell count, 11.57 vs 7.81 cells/μL, p<0.001; erythrocyte sedimentation rate, 69.2 vs 41.0 mm/h, p<0.001; C-reactive protein, 109.6 vs 15.3 mg/L, p<0.001).
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PLoS One. 2017; 12(9): e0184323.
Fever as an initial manifestation of spondyloarthritis: A retrospective study

Тоже почитала, не очень понятно.
Завтра другой ревматолог- послушаю