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Exam questionKROK 2Medicine · 2019

A 40-year-old man with Bekhterev disease (ankylosing spondylitis) complains of elevated body temperature up to 37,8°C, back pain and stiffness, especially observed during the second half of the night. This condition has been lasting for 2 years. Objectively: reduced spinal mobility, painful sacroiliac joint, erythrocyte sedimentation rate – 45 mm/hour. X-ray shows narrowing of the intervertebral disc space and of the sacroiliac joint. What eye pathology is often associated with this type of disease progression?

Answer options

  1. Retinal detachment
  2. Blepharitis
  3. Iridocyclitis
  4. Optic nerve atrophy
  5. Cataract
Correct answer

Iridocyclitis

Explanation

A 40-year-old man with Bekhterev disease (ankylosing spondylitis) complains of elevated body temperature up to 37.8°C, back pain and stiffness, especially observed during the second half of the night. This condition has been lasting for 2 years. Objectively: reduced spinal mobility, painful sacroiliac joint, erythrocyte sedimentation rate – 45 mm/hour. X-ray shows narrowing of the intervertebral disc space and of the sacroiliac joint. What eye pathology is often associated with this type of disease progression?Iridocyclitis is an inflammation of the iris (the colored part of the eye) and of the ciliary body (muscles and tissue involved in focusing the eye). This condition is also called “anterior uveitis” and “iritis”.

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