IS Case 359: Ankylosing Spondylitis
2009 URMC Imaging Sciences
Publication Date: 2010-03-01
Patient is a 55-year-old male presenting with lower back pain and stiffness that is worse in the morning and improves after movement.
Ankylosing spondylitis is an inflammatory rheumatic disease that affects the axial skeleton, causing characteristic inflammatory back pain. The hips and shoulders are affected in about one third of people with ankylosing spondylitis. Poor chest wall movement may result in decreased vital capacity. In the past decade new therapies have changed the management of this disease. Treatment with non-steroidal anti-inflammatory agents and physiotherapy remains the main long-term management of patients with ankylosing spondylitis. Possible new treatment options including tumor necrosis factor (TNF) blockers have recently been shown to be promising for patients refractory to conventional treatment.
- Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007 Apr 21;369(9570):1379-90. PMID: 17448825