Ankylosing spondylitis

Case contributed by Rania Adel Anan
Diagnosis almost certain

Presentation

Neck stiffness and generalized bone aches

Patient Data

Age: 50 years
Gender: Male
ct
  • bilateral symmetrical ankylosis of the sacroiliac joint.

  • ossification of anterior and posterior longitudinal ligaments.

  • ossification of the interspinous ligament giving a "dagger spine" appearance.

  • vertebral body squaring associated with ankylosis of the intervertebral discs as well as the apophyseal and costovertebral joints.

  • diffuse syndesmophytic ankylosis giving a "bamboo spine" appearance.

  • enthesopathy at the symphysis pubis.

  • arthritic changes of both hip joints, more marked on the left side.

  • arthritic changes at sternocalvicular and acromclavicular points on both sides.

  • bilateral coracoclavicular pseudoarthroses.

Case Discussion

This case shows the typical imaging findings of ankylosing spondylitis.

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