Pulmonary fibrosis in ankylosing spondylitis

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

This patient attends medical outpatient clinics in two specialties.

Patient Data

Age: 65 years old
Gender: Male
X-ray

Chest radiograph

There is bilateral volume loss due to pulmonary fibrosis with an upper zone predilection.

CT demonstrates upper and mid zone fibrosis bilaterally with extensive bullous change. Syndesmophytes and vertebral body squaring are shown in the thoracic spine. There is some kyphosis.

Case Discussion

As little as 1% of ankylosing spondylitis patients have upper zone fibrosis on chest radiographs. The natural radiographic history is that of reticulonodular opacities becoming confluent. Bullae and cavitation is typical as in this case, therefore mimicking tuberculosis.

PlayAdd to Share

Case information

rID: 24687
Case created: 5th Sep 2013
Last edited: 16th Jul 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.