CASE REPORT   

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2018 May;177(5):249-50

DOI: 10.23736/S0393-3660.17.03559-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

A case of ankylosing spondylitis after intermittant monoarthritis episodes in an octogenarian patient

Mehtap TINAZLI ¹, Servet AKAR ², Gaukhar BAKHTİYAROVA ¹, Levent CERİT ³ ✉

¹ Department of Internal Medicine, Near East University, Nicosia, Cyprus; ² Department of Rheumatology, Katip Çelebi University, İzmir, Turkey; ³ Department of Cardiology, Near East University, Nicosia, Cyprus

Spondyloarthropathies (SpA) are a group of inflammatory arthritis that consist of ankylosing spondylitis (AS), reactive arthritis/spondylitis associated with psoriasis (PsA) and arthritis/spondylitis associated with inflammatory bowel diseases. AS is the most common and most typical form of SpA. AS usually begins with back pain and stiffness at a young age but various presentations. Late onset after the age of 45 is uncommon for AS. Gout disease is usually characterized by recurrent attacks of inflammatory arthritis. The metatarsal-phalangeal joint at the base of the big toe that is affected most often, accounting for half of cases. Other joints, such as the heels, knees, wrists and fingers may also be affected.

KEY WORDS: Spondylitis, ankylosing - Aged, 80 and over - Arthritis