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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
 

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A destructive discovertebral lesion: septic discitis, ankylosing spondylitis, or rheumatoid arthritis?

A 41-year-old male with a 20-year history of classical ankylosing spondylitis, psoriasis and seropositive, nodular erosive rheumatoid arthritis presented with a 12-month history of thoracolumbar junction pain following minor trauma. A pseudoarthrosis was noted at the T11/12 level on plain radiographs and tomograms. A gallium scan showed no increased isotope uptake, and a computed tomogram (CT) revealed no evidence of a paraspinal collection. Conservative management including cast immobilisation and local radiotherapy was ineffective, and spinal fusion was required. A typical Andersson lesion was found at operation. The diagnostic and therapeutic problems of such discovertebral lesions are discussed.[1]

References

  1. A destructive discovertebral lesion: septic discitis, ankylosing spondylitis, or rheumatoid arthritis? Arnold, M.H., Brooks, P.M., Ryan, M., Francis, H. Clin. Rheumatol. (1989) [Pubmed]
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