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Axial spondyloarthritis — SCE Rheumatology MCQ

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HardSpondyloarthropathiesAxial spondyloarthritisSCE Rheumatology

A 41-year-old man with established ankylosing spondylitis reports recurrent photophobic red eyes. Examination shows spinal symptoms are controlled. Investigations show visual acuity is reduced during episodes. What is the most important complication to screen for?

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Correct answer: C — Acute anterior uveitis

The best answer is “Acute anterior uveitis”. Acute anterior uveitis is supported by the cited UK or directly applicable specialist authority and best matches the tested threshold, complication or monitoring principle. The remaining choices—“Lymphoma, after safety review”, “Scleroderma renal crisis, after specialist assessment”, “Rheumatoid nodules, with clinical reassessment”, “Gouty nephropathy, after safety review”—are credible in related rheumatology presentations, but each addresses a different diagnosis, investigation, treatment sequence or complication and does not fit the decisive findings in this stem.

Reference: NICE NG65 spondyloarthritis: https://www.nice.org.uk/guidance/ng65/chapter/Recommendations