Date of Presentation
5-5-2022 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
Radiographic axial spondyloarthritis axSpA ) or typical ankylosing spondyloarthritis (AS) is a classification of axial spondyloarthritis with the classic radiographic features of sacroiliitis. Axial spondyloarthritis is a disabling spondyloarthropathy of the spine that presents with chronic back pain usually before the age of 45. It may be associated with extraspinal features including dactylitis , synovitis, and enthesitis in addition to other nonarticular signs. Chronic back pain is one of the most common presenting symptoms for AS , but frequently there is a 5-7 year delay between the onset of symptoms and diagnosis of the disease . A standard AP plain radiograph demonstrating changes to the sacroiliac joint including erosions, ankylosis or sclerosis along with the patient’s complaints of chronic back pain are strong indicators for AS.
We present a case of an atypical presentation of AS in a patient with recently diagnosed asthma and no other past medical history who had a 40 pound rapid (4 month) weight loss and polyarticular joint pain. Our case is unusual due to the short time course between presenting symptoms and time to diagnosis.
Keywords
Axial Spondyloarthritis, Ankylosing Spondylitis, Back Pain, Arthralgia, Case Reports
Disciplines
Medicine and Health Sciences | Musculoskeletal Diseases | Orthopedics | Pathological Conditions, Signs and Symptoms | Radiology
Document Type
Poster
Included in
Musculoskeletal Diseases Commons, Orthopedics Commons, Pathological Conditions, Signs and Symptoms Commons, Radiology Commons
Atypical Presentation of Ankylosing Spondylitis
Radiographic axial spondyloarthritis axSpA ) or typical ankylosing spondyloarthritis (AS) is a classification of axial spondyloarthritis with the classic radiographic features of sacroiliitis. Axial spondyloarthritis is a disabling spondyloarthropathy of the spine that presents with chronic back pain usually before the age of 45. It may be associated with extraspinal features including dactylitis , synovitis, and enthesitis in addition to other nonarticular signs. Chronic back pain is one of the most common presenting symptoms for AS , but frequently there is a 5-7 year delay between the onset of symptoms and diagnosis of the disease . A standard AP plain radiograph demonstrating changes to the sacroiliac joint including erosions, ankylosis or sclerosis along with the patient’s complaints of chronic back pain are strong indicators for AS.
We present a case of an atypical presentation of AS in a patient with recently diagnosed asthma and no other past medical history who had a 40 pound rapid (4 month) weight loss and polyarticular joint pain. Our case is unusual due to the short time course between presenting symptoms and time to diagnosis.