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Exam questionKROK 2Medicine · 2010

A 32-year-old male patient has been suffering from pain in the sacrum and coxofemoral joints, painfulness and stiffness in the lumbar spine for a year. ESR - 56 mm/h. Roentgenography revealed symptoms of bilateral sacroileitis. The patient is the carrier of HLA B27 antigen. What is the most likely diagnosis?

Answer options

  1. Rheumatoid arthritis
  2. Spondylosis
  3. Coxarthrosis
  4. Ankylosing spondylitis
  5. Reiter’s disease
Correct answer

Ankylosing spondylitis

Explanation

A 32-year-old male patient has been suffering from pain in the sacrum and coxofemoral joints, painfulness and stiffness in the lumbar spine for a year. ESR – 56 mm/h. Roentgenography revealed symptoms of bilateral sacroileitis. The patient is the carrier of HLA B27 antigen. What is the most likely diagnosis?

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