RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57676269
T1 Chapter 98. Ankylosing Spondylitis
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57676269
RD 2024/09/18
AB A  43-year-old  man  falls  and  presents  with  acute  back  and  diffuse  abdominal  pain.  He  has  had  back  pain  on  and  off  for  years.  Also,  his  wife  notes  that  he  has  become  “stooped”  forward  in  the  last  few  years.  The  radiographs  show  flowing  ligamentous  ossification  and  syndesmophyte  formation  about  the  cervical,  thoracic,  and  lumbar  spine  consistent  with  ankylosing  spondylitis  (bamboo  spine)  (Figure  98-1).  The  KUB  (kidneys,  ureters,  bladder)  view  film  also  shows  fusion  of  the  sacroiliac  joints  consistent  with  ankylosing  spondylitis  (Figure  98-2).  No  fracture,  dislocation,  or  abdominal  pathology  is  identified.  The  patient's  symptoms  are  treated  and  nonsteroidal  antiinflammatory  drugs  (NSAIDs)  are  started.  On  follow-up  a  blood  test  reveals  that  he  is  human  leukocyte  antigen  (HLA)-B27-positive.