Best Practice Case Studies-Ankylosing Spondylitis LH

Video Transcription

Video Summary

A 30-year-old professional soccer player experiences morning back pain relieved by ibuprofen, without leg radiation or significant GI, GU, skin, or joint issues. The initial suspicion is ankylosing spondylitis over lumbar disc degeneration, psoriatic arthritis, or reactive arthritis. He exhibits mild pain during a range of motion tests. Ankylosing spondylitis is likely due to classic symptoms of stiffness improving with movement. The video discusses the importance of considering a broad spectrum of spondyloarthropathies beyond classic presentations, and suggests using HLA-B27 testing and MRIs for better diagnostic clarity in related conditions, especially in young patients.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 46

Topic Rheumatology

Keywords

2nd Edition, CASE 46

2nd Edition

Rheumatology

ankylosing spondylitis

back pain

HLA-B27 testing

spondyloarthropathies

MRI