Ankylosing spondylitis
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Matt Skalski had no recorded disclosures.
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Long history of low back pain.
Patient Data
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The SI joints are fused. Erosive changes with surrounding sclerosis is observed at the pubic symphysis and anterior vertebral body corners scattered throughout the lumbar and visualized lower thoracic spine, most prominent at the anterosuperior corners of L5 and T12. No marginal syndesmophytes are present. Mild degenerative hypertrophy and sclerosis of the facets is appreciated bilaterally throughout the lower lumbar spine, with no evidence of fusion. Incidentally noted is a Schmorl node at the superior endplate of L4.
4 case questions available
Q: Erosions at the vertebral body corners in spondyloarthropathy are known as what? show answer
A: Romanus lesions
Q: Sclerosis of the vertebral body corners that occurs as a response to the inflammatory erosions is known as what? show answer
A: Shiny corners
Q: What finding usually follows shiny corners in patients with ankylosing spondylitis? show answer
A: Marginal syndesmophytes
Q: Non-infections inflammatory changes at the pubic symphysis, with or without adjacent sclerosis, is know as what? show answer
A: Osteitis pubis.
Case Discussion
This case shows typical features of ankylosing spondylitis, with shiny corners, romanus lesions, SI joint fusion and osteitis pubis.
Case courtesy of the late Deborah Forrester, MD
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