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Definition A HLA B27 positive, seronegative spondyloarthropathy with sacroiliac joint & spine involvement Mainly affects the cartilaginous joints of the axial skeleton Diagostic Criteria (1966 New York) 1

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It uses bacteria like Pseudomonas denitrificans or Propionibacterium freudenreichii

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Testosterone use is symptom-driven primarily low libido or diminished sexual function in women without contraindications

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