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Published on: May 23, 2021
The coexistence of ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis--a postmortem diagnosis
Xavier Jordana1, Ignasi Galtés, Ana Rita Couto
1Research Centre in Natural Resources (CIRN) and Department of Biology, Universidade dos Açores, S. Miguel, Azores, Portugal.
Abstract:
A 72-year-old male was diagnosed as having ankylosing spondylitis, mainly according to radiological findings, confirmed as HLA-B27-negative. Postmortem examination of the skeleton raised doubts on the initial diagnosis, since spinal findings pointed out also to diffuse idiopathic skeletal hyperostosis. The authors discuss the differential diagnosis and enhance the postmortem findings which allowed the diagnosis of the two clinical entities in the same patient.