Medical MCQ-A 65-yr-old man with H/O back pain since 3 months. ESR is raised. On examination marked stiffness and mild restriction of chest movements is found. On x-ray, syndesmophytes are present in vertebrae. Diagnosis is -

A 65-yr-old man with H/O back pain since 3 months. ESR is raised. On examination marked stiffness and mild restriction of chest movements is found. On x-ray, syndesmophytes are present in vertebrae. Diagnosis is –

Ankylosing spondylitis

Degenerative osteoarthritis of spine

Ankylosing hyperosteosis

Lumbar canal stenosis

Question Category:

Orthopaedics

Correct Answer:

Ankylosing spondylitis

Description:

The clinical profile of the given case fits into Ankylosing spondylitis (A.S.) except for the age. A.S. is usually seen in 2nd or 3rd decades of age with a median age of 23. However "in 5% ofpatients, symptoms begin after 40" - Harrison All other features, i.e. raised ESR, marked stiffness, restriction of chest movements & syndesmophytes are seen in A.S.

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