Presentation
Chronic backaches. HLA-B27 positive.
Patient Data
Age: 40 years
Gender: Male
From the case:
Romanus lesions (MRI)
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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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