Ankylosing spondylitis

Case contributed by Dr Ganesh Sanap

Presentation

75 years male patient presents with gradually progressive backache with stiffness.

Patient Data

Age: 75 years
Gender: Male

Ankylosing spondylitis

Modality: X-ray

Vertebral body fusion by marginal syndesmophytes gives the classical Bamboo spine appearance in ankylosing spondylitis.

Ossification of supraspinous and interspinous ligaments gives Dagger sign.

 

Case Discussion

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)

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Case Information

rID: 45041
Case created: 12th May 2016
Last edited: 21st Apr 2017
Inclusion in quiz mode: Included

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