24/7 Support
+965 6662 2134
All Categories
24/7 Support
+965 6662 2134

Case Details

Product
Product

Ankylosing Spondylitis

  • Author: Dr. Hasan Altarrah
  • Published Date: 10/05/2026
  • Last Modified Date:
  • Rating :
  • Reviews: ( 0 Reviews )
  • Category :Internal Medicine
  • Tags :-
  • Share :

Additional Information:

  • CC: back pain or diarrhea

Description

Area to Examine
  • Check posture
  • Fixed kyphoscoliosis
  • Loss of lumbar lordosis with extension of cervical spine
  • Reduced chest expansion (< 5 cm increase in girth)
  • Increased occiput-wall distance (> 5 cm)
  • Reduced range of movement throughout entire spine
  • Do Shöber test: positive if expansion is less than 5 cm on maximum forward flexion
Complications
  • Anterior uveitis
  • Apical lung fibrosis
  • Aortic regurgitation
  • Atrio-ventricular nodal heart block
  • Arthritis (may be psoriatic arthropathy)
  • Amyloidosis
Why Did He/She Get Diarrhea?
  • This is an extra-articular manifestation due to inflammation of the GI tract with possible immune-related involvement
What Will You Do?
  • X-ray sacroiliac joints
  • If equivocal or absent findings, do MRI
  • Blood HLA-B27
  • Physiotherapy like swimming
  • Address concerns like work, driving and ADL
  • NSAIDs like ibuprofen and naproxen (avoid aspirin)
  • Sulfasalazine for peripheral joint disease
  • For axial disease:
    • NSAIDs
    • Anti-TNF like etanercept
    • IL-17 inhibitors
    • Janus kinase inhibitors like tofacitinib
Extra
  • Ankylosing spondylitis (AS) is a type of seronegative spondyloarthropathy, meaning tests show no presence of rheumatoid factor (RF) antibodies

Total Reviews (0)

Write Comment

Releted Products

Customers also purchased

Communication skills
Read More
13/05/2026

Internal Medicine | Communication skills

Tuberous Sclerosis
Read More
13/05/2026

Internal Medicine | Tuberous Sclerosis

Secondary Hypertension & Neurofibromatosis
Read More
13/05/2026

Internal Medicine | Secondary Hypertension & Neurofibromatosis

Interstisial Lung disease
Read More
13/05/2026

Internal Medicine | Interstisial Lung disease

Aortic Stenosis
Read More
13/05/2026

Internal Medicine | Aortic Stenosis

Holmes-Adie pupil
Read More
13/05/2026

Internal Medicine | Holmes-Adie pupil

DVT & Cellulitis
Read More
13/05/2026

Internal Medicine | DVT & Cellulitis

Splenomegaly
Read More
13/05/2026

Internal Medicine | Splenomegaly

Hypertrophic Obstructive Cardiomyopathy (HOCM)
Read More
13/05/2026

Internal Medicine | Hypertrophic Obstructive Cardiomyopathy (HOCM)

CO Poisoning
Read More
13/05/2026

Internal Medicine | CO Poisoning

Thyroid storm
Read More
13/05/2026

Internal Medicine | Thyroid storm

Argyll Robertson pupil
Read More
10/05/2026

Internal Medicine | Argyll Robertson pupil

Hepatic encephalopathy
Read More
10/05/2026

Internal Medicine | Hepatic encephalopathy

Angioedema
Read More
10/05/2026

Internal Medicine | Angioedema

Myasthenia Gravis
Read More
10/05/2026

Internal Medicine | Myasthenia Gravis

Osteoarthritis
Read More
10/05/2026

Internal Medicine | Osteoarthritis

Drug induced liver injury ( DILI )
Read More
10/05/2026

Internal Medicine | Drug induced liver injury ( DILI )

Cerebellar Syndrome
Read More
10/05/2026

Internal Medicine | Cerebellar Syndrome

Asthma
Read More
09/05/2026

Internal Medicine | Asthma

Dengue Fever
Read More
09/05/2026

Internal Medicine | Dengue Fever

Thyroid Nodule
Read More
09/05/2026

Internal Medicine | Thyroid Nodule

Graves Disease , Recurrence
Read More
09/05/2026

Internal Medicine | Graves Disease , Recurrence

Celiac Disease
Read More
09/05/2026

Internal Medicine | Celiac Disease