A Case of Ankylosing Spondylitis with Spinal Metastasis of Cholangiocarcinoma.
10.4078/jkra.2010.17.1.81
- Author:
Il Woong SOHN
1
;
So Young BANG
;
Dam KIM
;
Tae Hwan KIM
Author Information
1. Division of Rheumatology, Department of Internal Medicine, The Hospital for Rheumatic Disease, Hanyang University College of Medicine, Seoul, Korea. thkim@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Ankylosing spondylitis;
Cholangiocarcinoma;
Back pain
- MeSH:
Adult;
Back Pain;
Bone Diseases;
Cholangiocarcinoma;
Discitis;
Humans;
Low Back Pain;
Neoplasm Metastasis;
Spondylitis, Ankylosing
- From:The Journal of the Korean Rheumatism Association
2010;17(1):81-85
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Back pain is the most common symptom of ankylosing spondylitis (AS). The aggravation of back pain in AS patients is usually thought to be a flare-up of the disease activity. We report here on the case of a 31-year-old AS patient with low back pain. The lesions of this patient were unexpectedly diagnosed as metastatic spinal tumor due to cholangiocarcinoma. In a patient with AS, an acute aggravation of low back pain may be due to other pathologic conditions such as osteoporotic vertebral fracture, vertebral discitis and metastatic bone disease. Therefore, when a patient with AS presents with nonspecific low back pain, a physician should consider the above mentioned conditions.
