A 52-year-old man with 15 years of Crohn disease affecting multiple bowel segments presents with acute onset of severe back pain and progressive morning stiffness lasting 2 hours. Vital signs: BP 128/82, HR 92, RR 16, Temp 37.2°C. Laboratory studies show elevated ESR at 48 mm/hr. Spinal imaging reveals a fused and inflexible spine with anterior syndesmophytes. He denies peripheral joint swelling. Which of the following is the most likely diagnosis?
- A)Axial spondyloarthritis associated with Crohn diseaseGABARITO
- B)Ankylosing spondylitis independent of IBD
- C)Osteoporosis with compression fractures
- D)Spinal tuberculosis from disseminated infection
- E)Lumbar stenosis from chronic inflammation
Explicação
Axial spondyloarthritis, including ankylosing spondylitis and non-radiographic axial SpA, is an extraintestinal manifestation of IBD, particularly Crohn disease. It presents with inflammatory back pain, morning stiffness, and radiographic findings of syndesmop... Ver explicação completa e trilha adaptativa →