تقرير
Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye.
| العنوان: | Diagnosis of Ankylosing Spondylitis: Do not let the spine bites the eye. |
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| المؤلفون: | Chew CC; MD, Department of Ophthalmology and Visual Science, School of Medical Sciences, UniversitiSains Malaysia Kelantan, Malaysia.; Ophthalmology clinic, Hospital USM, UniversitiSains Malaysia, Kelantan, Malaysia.; Ophthalmology clinic, Hospital Raja PermaisuriBainun, Ipoh, Perak, Malaysia., Chin JJ; Department of Ophthalmology and Visual Science, School of Medical Sciences, UniversitiSains Malaysia Kelantan, Malaysia.; Ophthalmology clinic, Hospital USM UniversitiSains Malaysia, Kelantan, Malaysia.; Ophthalmology clinic, Hospital Raja PermaisuriBainun, Ipoh, Perak, Malaysia., Wan Hitam WH; Department of Ophthalmology and Visual Science, School of Medical Sciences, UniversitiSains Malaysia Kelantan, Malaysia.; Ophthalmology clinic, Hospital USM UniversitiSains Malaysia, Kelantan, Malaysia., Chong MF; Ophthalmology clinic, Hospital Raja PermaisuriBainun, Ipoh, Perak, Malaysia., Ahmad Tajudin LS; MBBS, MMed, PhD, AM, Department of Ophthalmology and Visual Science, School of Medical Sciences, UniversitiSains Malaysia Kelantan, Malaysia.; Ophthalmology clinic, Hospital USM UniversitiSains Malaysia, Kelantan, Malaysia. |
| المصدر: | Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia [Malays Fam Physician] 2021 Jun 04; Vol. 16 (2), pp. 73-77. Date of Electronic Publication: 2021 Jun 04 (Print Publication: 2021). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academy of Family Physicians of Malaysia Country of Publication: Malaysia NLM ID: 101466855 Publication Model: eCollection Cited Medium: Print ISSN: 1985-207X (Print) Linking ISSN: 19852274 NLM ISO Abbreviation: Malays Fam Physician Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Kuala Lumpur : Academy of Family Physicians of Malaysia, 2006- |
| مستخلص: | Background: A diagnosis of ankylosing spondylitis (AS) is challenging and often delayed despite patients being symptomatic. Low back pain is the most common initial symptom, appearing in the second and third decades of life. Acute anterior uveitis (AAU) occurs much later in the course of the disease, often when the destruction of the spine is already debilitating. Objective: Here, we report three cases of AS that were diagnosed after the patients developed AAU. Methods: A case series illustrated AAU leading to the diagnosis of AS years after the initial episode of low back pain. A comparison of the clinical presentation, diagnosis, and outcomes was also illustrated. Result: We report three cases of acute anterior uveitis (AAU)-associated AS diagnosed only after many visits to the primary health care provider with the complaint of chronic low back pain. All three patients had irreversible radiological changes upon diagnosis of AS. The AAU resolved with topical steroids, and one patient developed cataract. Conclusion: A high index of suspicion of AS in a young adult with chronic back pain before the development of AAU may prevent further functional loss and provide a better prognosis. Diagnosis of AS following AAU is not only associated with dependency but also may rob the vision of a young adult. (© Academy of Family Physicians of Malaysia.) |
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| فهرسة مساهمة: | Keywords: Low back pain; ankylosing spondylitis; anterior uveitis good health and well being |
| تواريخ الأحداث: | Date Created: 20210813 Latest Revision: 20220425 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC8346758 |
| DOI: | 10.51866/cr1121 |
| PMID: | 34386168 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1985-207X |
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| DOI: | 10.51866/cr1121 |