75 years male patient presents with gradually progressive backache with stiffness.
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The findings of bamboo spine, dagger sign, syndesmophytes , bilateral sacro-iliatis with clinical history are suggestive of ankylosing spondylitis.
Patients Laboratory evaluation shows :
HLA-B27 : Positive.
C-Reactive protein: 6.1 (POSITIVE).
R.A.Factor : < 20, Negative
ESR: 12 , raised (0 to 10 Norma as per lab standards)