Romanus lesions (MRI)

Case contributed by Dr Roberto Schubert

Presentation

Chronic backaches. HLA-B27 positive.

Patient Data

Age: 40 years
Gender: Male
MRI

Active inflammatory spondylitis anterior at L4 and S1 (and posterior at L5). Older, inactive Romanus lesions at L5 and Th 10/11. More metachronous Romanus lesions at Th4-8.

Case Discussion

Spondylitis anterior or Romanus lesions are a typical sign of spondylitis ankylosans (Bechterew disease).

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Case information

rID: 14409
Published: 23rd Jul 2011
Last edited: 10th Feb 2020
Inclusion in quiz mode: Included

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