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Ankylosing spondylitis presenting with discitis.

R A Ebrahim1, N I Sarwani, S G Kanekar

  • 1Department of Medicine, Salmaniya Medical Complex, PO Box 12, Manama, Bahrain.

Saudi Medical Journal
|May 29, 2001
PubMed
Summary
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Ankylosing spondylitis, a rare condition in Bahrain, can present as discitis. This case highlights the importance of Human Leukocyte Antigen-B27 testing for diagnosing this rare presentation.

Area of Science:

  • Rheumatology and Immunology
  • Spinal Disorders
  • Case Reports

Background:

  • Ankylosing spondylitis (AS) is a chronic inflammatory disease primarily affecting the axial skeleton.
  • While AS has a typical joint involvement pattern, presentation with discitis is uncommon.
  • The prevalence of AS in Bahrain is considered relatively low.

Observation:

  • A patient presented with persistent backache, initially diagnosed with discitis.
  • Diagnostic workup revealed the patient was Human Leukocyte Antigen-B27 positive.
  • This finding led to the diagnosis of ankylosing spondylitis.

Findings:

  • This case represents the first documented instance of ankylosing spondylitis presenting as discitis in Bahrain.
  • The Human Leukocyte Antigen-B27 positivity was crucial in confirming the AS diagnosis.

Related Experiment Videos

  • The unusual presentation underscores the diverse clinical manifestations of ankylosing spondylitis.

    • Implications:

    • Highlights the need for considering ankylosing spondylitis in patients with discitis, especially if Human Leukocyte Antigen-B27 positive.
    • Contributes to the understanding of rare disease presentations in specific geographic regions like Bahrain.
    • Emphasizes the importance of comprehensive diagnostic approaches for inflammatory spinal conditions.