Ankylosing Spondylitis: Can It Be Transmitted? - Orthopedics

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Ankylosing Spondylitis


Doctor, I would like to ask, because I don't quite understand.
A friend of mine has a family history of ankylosing spondylitis, and today I made plans to go out with him to eat hot pot.
Is there a possibility that I could be infected? I would appreciate a detailed explanation from the doctor.

Gao, 10~19 year old female. Ask Date: 2022/01/28

Dr. Shi Guozheng reply Orthopedics


Ankylosing spondylitis is not contagious.
Individuals with this condition possess a specific gene known as HLA-B27, which is related to the immune system.
It cannot be transmitted from person to person; it is not an infectious disease, and one cannot contract it from sharing a hot pot meal.

Reply Date: 2022/01/28

More Info


Ankylosing Spondylitis (AS) is a type of inflammatory arthritis that primarily affects the spine, leading to severe, chronic pain and discomfort. It is classified as a spondyloarthritis, which is a group of inflammatory diseases that can also affect other joints and areas of the body, including the hips, shoulders, and even the eyes. One of the most important aspects of AS is that it is not contagious; therefore, you cannot "catch" it from someone else, regardless of how close your interaction is, such as sharing a meal.

The primary cause of Ankylosing Spondylitis is believed to be a combination of genetic and environmental factors. The presence of the HLA-B27 gene is a significant risk factor for developing AS, but not everyone with this gene will develop the condition. It is important to note that while having a family history of AS can increase your risk, it does not mean that the disease can be transmitted from one person to another like an infectious disease.

When discussing the hereditary nature of AS, it is crucial to understand that genetics play a role in susceptibility. If a family member has AS, it may indicate a higher likelihood of developing the condition, but it does not imply direct transmission. The mechanisms involved in the development of AS are complex and involve immune system responses that are not transferable through casual contact.

In terms of lifestyle and management, individuals with AS can lead active lives, and many engage in physical therapy, exercise, and medication to manage symptoms. Regular exercise, particularly exercises that promote flexibility and posture, can be beneficial. Nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed to help alleviate pain and inflammation. In some cases, biologic medications may be recommended for those with more severe symptoms.

If you are concerned about your risk of developing AS due to your friend's family history, it may be helpful to discuss this with a healthcare provider. They can provide more personalized information based on your medical history and any symptoms you may be experiencing. Early diagnosis and intervention can significantly improve the quality of life for individuals with AS.

In summary, Ankylosing Spondylitis is not a contagious disease, and you cannot contract it from someone else, even if they have a family history of the condition. Understanding the genetic factors involved can help clarify your concerns, but the disease itself is not transmitted through social interactions or shared meals. If you have any further questions or concerns about AS or your health, it is always best to consult with a healthcare professional for guidance.

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