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Images in Clinical Medicine
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Volume 359:2034 November 6, 2008 Number 19
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Ankylosing Spondylitis

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A 40-year-old man presented with a 3-day history of increasing abdominal pain. On physical examination, rebound tenderness was present, and both hip joints were fixed in flexion state with no range of motion. Plain abdominal radiography showed ileus, as well as the presence of ankylosis of both sacroiliac joints (black arrows) and both hip joints (black arrowheads) and the presence of bamboo spine (white arrow). On questioning, the patient reported having had back pain with stiffness since he was 10 years old and difficulty walking since he was 15 years old. For the past 25 years, he had stayed at . . . [Full Text of this Article]

 



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