Presentation
Symptoms started 3 days ago after lifting a certain heavy object, non-work related injury. There is tenderness distal 3rd part of the thoracic spine, and pain in the lumbar area.
Patient Data
Age: 30 years
Gender: Male
From the case:
Ankylosing spondylitis
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- sclerotic change with almost complete fusion of the sacroiliac joints bilaterally, in keeping with sacroiliitis bilaterally
- syndesmophyte formation of the lumbar spine
- thoracic asymmetry curvature to the right side
Case Discussion
This case was discovered by chance when the patient was complaining of pain after lifting a heavy object. Sacroiliitis is usually the first manifestation and is symmetrical and bilateral.