POSTTRAUMATIC ANKYLOSING-SPONDYLITIS (2 NEW CASE-REPORTS)

Authors
Citation
P. Doury, POSTTRAUMATIC ANKYLOSING-SPONDYLITIS (2 NEW CASE-REPORTS), La Semaine des hopitaux de Paris, 69(19), 1993, pp. 564-569
Citations number
NO
Categorie Soggetti
Medicine, General & Internal
ISSN journal
00371777
Volume
69
Issue
19
Year of publication
1993
Pages
564 - 569
Database
ISI
SICI code
0037-1777(1993)69:19<564:PA(NC>2.0.ZU;2-K
Abstract
Two highly unusual cases of typical ankylosing spondylitis ankylosing spondylitis in previously healthy, athletically active individuals, wi th onset immediately after a severe injury are reported. One of these patients had ankylosing spondylitis of 25 years duration which had bee n completely quiescent for the last five years ; he sustained a fractu re of the cervical spine which was immediately followed by a severe ex tensive flare of ankylosing spondylitis. Although the concept of postt raumatic ankylosing spondylitis has been challenged recently, these tw o cases, as well as previously published data, demonstrate that injuri es can precipitate ankylosing spondylitis. The injury is one of the ma ny factors (including genetic susceptibility) which lead to developmen t of clinical disease. Diagnostic criteria, which should be stringent, are reviewed. Pathogenetic hypotheses are discussed.