Background: In the past, it was believed that ankylosing spondylitis (AS) mostly affected males. However, more recent statistics indicate a more even gender ratio. Sadly, axial spondyloarthritis (axSpA) research often includes a limited number of female participants, and results are typically not classified according to gender distribution.
Objective: The goal of this study was to make a comparative study between males and females SPA specially ankylosing spondylitis to help us in a good diagnosis and management.
Patients and Methods: This is a comparative study which included 60 adult ankylosing spondylitis patients divided into 30 males and 30 females diagnosed according to New York Revised Criteria 2016 for too early AS Diagnosis.
Results: as regard the disease duration, there was delay in diagnosis which is statistically significant between the two groups with a median difference in male group 1.5 years and in the female group was 5.5 years, also male patients have lumbar limitation more than female patients, female patients tend to have Enthesitis and peripheral arthritis more than male patients. According to extra-articular manifestation, there were no significant difference in both sexes.
Conclusions: Understanding sex differences in ankylosing spondylitis is essential for both diagnosis and treatment.