Ankylosing Spondylitis in a 33- years old man with Hypermobility Joints

Autor: Demirtzoglou, Georgios, Theodorou, Evangelos, Klagou, Anastasia, Zervos, Nikolaos, Ampatziadis, Efstathios
Jazyk: angličtina
Rok vydání: 2020
Předmět:
DOI: 10.26262/abj.v2i2.7697
Popis: Background: Ankylosing spondylitis, is a chronic inflammatory autoimmune disease that mainly affects spine joints. It can cause severe, chronic pain, spine fusion and chronic disability. Ehlers-Danlos syndrome is a rare heterogenous group of hereditary connective tissue disorders which are characterized by skin hyperextensibility, joint hypermobility and tissue fragility. Case report: A 33-year old man was admitted to the Rheumatology Department of 251 Airforce General Hospital in order to decide on his capability to serve his duty as an aircraftsman at Hellenic Airforce. He was diagnosed with ankylosing spondylitis twelve years ago. On physical examination joint hypermobility and skin hyperextensibility were observed and after further investigation, he was diagnosed with hypermobility type of Ehlers Danlos Syndrome. Laboratory investigation was normal. MRI radiologic investigation revealed bony sclerosis of the left sacroiliac joint and bone marrow oedema on right sacroiliac joint. No extraskeletal manifestations were detected. The patient was informed about both conditions and he was given medical advice about their proper management. Conclusion: Rare diseases sometimes manifest as atypical inflammatory arthritis syndromes. Careful medical history, thorough physical examination and use of diagnostic criteria are useful in such patients for disease identification and treatment.
Aristotle Biomedical Journal, Vol 2, No 2 (2020)
Databáze: OpenAIRE