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Case Report
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| Acute onset small joint affliction in ankylosing spondylitis: A red herring | ||||||
| Deepak Rath1, Bijit Kumar Kundu2 | ||||||
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1MBBS, MD; Senior Resident, Department of Medicine, PGIMER & Dr. Ram Manohar Lohia Hospital, New Delhi, India.
2MBBS, MD; Rheumatology Clinic, Department of Medicine, PGIMER & Dr. Ram Manohar Lohia Hospital, New Delhi, India. | ||||||
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| How to cite this article |
| Rath D, Kundu BK. Acute onset small joint affliction in ankylosing spondylitis: A red herring. Int J Case Rep Images 2014;5(8):576–580. |
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Abstract
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Introduction:
Monoarthritis has many a diagnostic possibilities. When acute, it is alarming and usually presents to the orthopedician for initial evaluation. When the most common aetiologies of infection, trauma, and crystals are ruled out, it becomes a diagnostic challenge in itself.
Case Report: We present such a case where acute small joint monoarthritis was the presenting symptom in a young male. Detailed history and evaluation led us to diagnose it as the initial peripheral articular manifestation of ankylosing spondylitis. Conclusion: The role of a detailed history keeping in mind the variety of disorders, both autoimmune and non-autoimmune which can present as such cannot be over emphasized. We reviewed the literature to find that such a manifestation has not been described before. This case challenges the established pattern of presentation of a relatively 'known' entity. | |
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Keywords:
Acute monoarthritis, Ankylosing spondylitis, Psoriatic arthritis, Small joint monoarthritis
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Author Contributions
Deepak Rath – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Bijit Kumar Kundu – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Deepak Rath et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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