Question 370 · LEK · Ankylosing spondylitis (AS)
A 18-year-old man comes to the doctor because of a persistent pain of the lumbar spine. He has been diagnosed with spinal disc herniation. Currently, the patient complains of inguinal and gluteal pain and edema of the right Achilles tendon. What examination should be performed to confirm the diagnosis?
- A. antinuclear antibodies.
- B. ANCA.
- C. aCCP.
- D. HLA B-27.
- E. anti-Sa antibodies.
Hint
Young man, inflammatory back pain, buttock pain and Achilles enthesitis: think of which disease group this is and its genetic marker.
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