PMID- 31720191
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 11
IP  - 9
DP  - 2019 Sep 22
TI  - Delayed Diagnosis of Ankylosing Spondylitis: A Missed Opportunity?
PG  - e5723
LID - 10.7759/cureus.5723 [doi]
LID - e5723
AB  - Ankylosing spondylitis is an inflammatory condition involving the axial spine, 
      often associated with the human leukocyte antigen (HLA)-B27 genotype and 
      supporting radiographic imaging findings. Patients develop symptomatic low back 
      and/or hip pain beginning in late adolescence or early adulthood. Diagnosis of 
      ankylosing spondylitis is based primarily on clinical presentation and imaging 
      studies. In this article, we are presenting a case of a 40-year-old male patient 
      who presented to the office with chief concerns of chronic mid-thoracic back pain 
      and restricted range of motion of his neck. The imaging study obtained was 
      suggestive of fusion of the sacroiliac joints. This article also highlights the 
      presence of elevated inflammatory markers in the setting of the patients chronic 
      symptomatic complaints which could have guided in early diagnosis.
CI  - Copyright (c) 2019, Patel et al.
FAU - Patel, Pooja
AU  - Patel P
AD  - Rheumatology, Advocate Aurora Health, Brookfield, USA.
FAU - Hussain, Hira
AU  - Hussain H
AD  - Family Medicine, St. George's University School of Medicine, Ft. Lauderdale, USA.
FAU - Fahey, John
AU  - Fahey J
AD  - Rheumatology, Advocate Aurora Health, Brookfield, USA.
LA  - eng
PT  - Case Reports
DEP - 20190922
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC6823060
OTO - NOTNLM
OT  - ankylosing spondylitis
OT  - chronic low back pain
OT  - inflammatory arthritis
OT  - inflammatory markers
OT  - iritis
OT  - spondyloarthropathy
OT  - stiffness
COIS- The authors have declared that no competing interests exist.
EDAT- 2019/11/14 06:00
MHDA- 2019/11/14 06:01
PMCR- 2019/09/22
CRDT- 2019/11/14 06:00
PHST- 2019/11/14 06:00 [entrez]
PHST- 2019/11/14 06:00 [pubmed]
PHST- 2019/11/14 06:01 [medline]
PHST- 2019/09/22 00:00 [pmc-release]
AID - 10.7759/cureus.5723 [doi]
PST - epublish
SO  - Cureus. 2019 Sep 22;11(9):e5723. doi: 10.7759/cureus.5723.