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KMID : 0388220100170010081
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Journal of the Korean Rheumatism Association
2010 Volume.17 No. 1 p.81 ~ p.85
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A Case of Ankylosing Spondylitis with Spinal Metastasis of Cholangiocarcinoma
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Sohn Il-Woong
Bang So-Young
Kim Dam
Kim Tae-Hwan
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Abstract
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Back pain is the most common symptom of ankylosing spondylitis (AS). The aggravation of back pain in AS patients is usually thought to be a flare-up of the disease activity. We report here on the case of a 31-year-old AS patient with low back pain. The lesions of this patient were unexpectedly diagnosed as metastatic spinal tumor due to cholangiocarcinoma. In a patient with AS, an acute aggravation of low back pain may be due to other pathologic conditions such as osteoporotic vertebral fracture, vertebral discitis and metastatic bone disease. Therefore, when a patient with AS presents with nonspecific low back pain, a physician should consider the above mentioned conditions.
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KEYWORD
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Ankylosing spondylitis, Cholangiocarcinoma, Back pain
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