Atypical clinical case of ankylosing spondylitis
A. E. Karpenka,
E. M. Jandarova,
E. G. Malaeva,
A. N. Tsyrulnikova,
E. V. Shulkina,
K. S. Kravets,
M. P. Bychenko https://doi.org/10.51523/2708-6011.2025-22-1-16
Abstract
Objective. To demonstrate a clinical case of atypical ankylosing spondylitis.
Materials and methods. Retrospective analysis of the medical history of a patient hospitalized in the Rheumatology Department of Gomel City Clinical Hospital No. 1.
Results. Ankylosing spondylitis is one of the most difficult to diagnose causes of specific pain in the lower back. The medical and social significance of the disease lies in a high level of disability of young people, and in a decrease in the quality of patients’ life. There are no specific diagnostic markers of spondylitis at an early stage of the disease. The reasons for the late diagnosis of the disease are the untimely arrival of patients for medical help, the asymptomatic course of ankylosing spondylitis, and insufficient knowledge of the diagnostic criteria of the disease by doctors.
The article presents a clinical case of atypical ankylosing spondylitis in a young patient with no signs of systemic inflammation and classic manifestations of the disease.
Conclusion. Targeted examination of the lumbosacral spine and sacroiliac joints should be recommended for patients with pain in the lower back in order to verify ankylosing spondylitis.
Supporting agencies: The study was conducted without sponsorship
About the Authors
A. E. Karpenka
Gomel State Medical University
Belarus
Belarus
Alena E. Karpenka - Assistant at the Department of Internal Medicine No. 1 with the courses of Endocrinology and Hematology.
Gomel
E. M. Jandarova
Gomel State Medical University
Belarus
Belarus
Elena M. Jandarova - Assistant at the Department of Internal Medicine No. 1 with the courses of Endocrinology and Hematology.
Gomel
E. G. Malaeva
Gomel State Medical University
Belarus
Belarus
Ekaterina G. Malaeva - Candidate of Medical Sciences, Associate Professor, Head of the Department of Internal Diseases No.1 with the courses of Endocrinology and Hematology, Gomel SMU.
Gomel
A. N. Tsyrulnikova
Gomel State Medical University
Belarus
Belarus
Anna N. Tsyrulnikova - Senior Lecturer at the Department of Internal Diseases No. 1 with the courses in Endocrinology and Hematology.
Gomel
E. V. Shulkina
Gomel City Clinical Hospital No. 3
Belarus
Belarus
Elena V. Shulkina - Clinical laboratory diagnostics doctor (Head).
Gomel
K. S. Kravets
Gomel City Clinical Hospital No. 3
Belarus
Belarus
Karina S. Kravets - Radiologist at the Department of Diagnostic Radiology.
Gomel
M. P. Bychenko
Gomel City Clinical Hospital No. 3
Belarus
Belarus
Marina P. Bychenko - Neurologist at the Neurological Department for Stroke Patients.
Gomel
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Review
For citations:
Karpenka A.E., Jandarova E.M., Malaeva E.G., Tsyrulnikova A.N., Shulkina E.V., Kravets K.S., Bychenko M.P. Atypical clinical case of ankylosing spondylitis. Health and Ecology Issues. 2025;22(1):127-136. (In Russ.) https://doi.org/10.51523/2708-6011.2025-22-1-16
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