Presentation?
Low back pain, common in morning
Other spondylarthropathy features.
<30 yr old man.
What is ankylosing spondylarthropathies?
Chronic inflammatory disease of the spine and sacroilliac joints
Diagnosis and Ix?
Diagnosis is clinical MRI Sacroilliatis on x ray. Vertebral syndesmophytes Ankylosis - fusion of vertebra (bamboo spine appearance)
Rx of AS?
Exercise
TNF a-blockers and NSAIDs