Delayed Diagnosis of Ankylosing Spondylitis: A Missed Opportunity?
- Resource Type
- Authors
- Pooja Patel; Hira Hussain; John Fahey
- Source
- Cureus
- Subject
- musculoskeletal diseases
Pediatrics
medicine.medical_specialty
Spondyloarthropathy
Inflammatory arthritis
Human leukocyte antigen
030204 cardiovascular system & hematology
Delayed diagnosis
03 medical and health sciences
stiffness
0302 clinical medicine
Rheumatology
ankylosing spondylitis
medicine
Back pain
Internal Medicine
spondyloarthropathy
inflammatory arthritis
Ankylosing spondylitis
business.industry
General Engineering
medicine.disease
inflammatory markers
chronic low back pain
medicine.symptom
Presentation (obstetrics)
iritis
business
Missed opportunity
030217 neurology & neurosurgery
Family/General Practice
- Language
- English
- ISSN
- 2168-8184
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.