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Differential diagnosis of inflammatory spondylitis

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Abstract

Some of the causes of inflammatory spondylitis are described and their radiological differentiation discussed. These appearances are compared and contrasted with the hyperostoses of non-inflammatory spondylosis.

The classical appearance of Marie-Strümpell ankylosing spondylitis is shown to be virtually indistinguishable from colitic spondylitis, except perhaps in degree. Spondylitis associated with psoriasis and Reiter's disease, however, presents a different pattern.

The hyperostosis of hypophosphatemic osteomalacia may simulate ankylosing spondylitis and has led to misdiagnosis. Similarity is noted also between the non-inflammatory hyperostoses, particularly in the appendicular skeleton, including primary hypoparathyroidism and Forestier's spinal hyperostosis (diffuse idiopathic skeletal hyperostosis).

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References

  1. Ansell, B.M.: The cervical spine in juvenile rheumatoid arthritis. In: Radiological Aspects of Rheumatoid Arthritis (Ed. M.E. Carter). International Congress Series No. 61, p. 233. Amsterdam: Excerpta Medica Foundation 1964

    Google Scholar 

  2. Ball, J.: Enthesopathy of rheumatoid and ankylosing spondylitis. The Heberden Oration, 1970. Ann. rheum. Dis. 30, 213 (1971)

    Google Scholar 

  3. Bywaters, E.G.L., Ansell, B.M.: Arthritis associated with ulcerative colitis: a clinical and pathological study. Ann. rheum. Dis. 17, 169 (1958)

    Google Scholar 

  4. Bywaters, E.G.L., Dixon, A.St.J.: Paravertebral ossification in psoriatic arthritis. Ann. rheum. Dis. 23, 313 (1965)

    Google Scholar 

  5. Clarke, R.L., Muhletaler, C.A., Margulies, S.I.: Colitic arthritis. Radiology 101, 585 (1971)

    Google Scholar 

  6. Forestier, J., Lagier, R.: Ankylosing hyperostosis of the spine. Clin. Orthop. 74, 65 (1971)

    Google Scholar 

  7. Hollander, J.L. (Ed.): Arthritis and Allied Conditions. 7th Ed. Philadelphia: Lea and Febiger 1966

    Google Scholar 

  8. Jalan, K.N., Prescott, R.J., Walker, R.J., Sircus, W., McManus, J.P.A., Card, W.I.: Arthropathy, ankylosing spondylitis and clubbing of fingers in ulcerative colitis. Gut 11, 748 (1970)

    Google Scholar 

  9. McEwen, C.: Arthritis accompanying ulcerative colitis. Clin. Orthop. 57, 9 (1968)

    Google Scholar 

  10. McEwen, C., DiTata, D., Lingg, C., Porini, A., Good, A., Rankin, T.: Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter's disease. Arthritis Rheum. 14, 291 (1971)

    Google Scholar 

  11. Macnab, I.: The traction spur-an indicator of segmental instability. J. Bone Jt Surg. 53A, 663 (1971)

    Google Scholar 

  12. Niepel, G.A., Kostka, D., Kopecky, S., Manca, S.: Enthesopathy. Acta rheum. balneol. Pistiniana No. 1 (1966)

  13. Patton, J.T.: Hip changes in metabolic bone disease Proc. Roy. Soc. Med. 59, 1231 (1966)

    Google Scholar 

  14. Peacock, E.E., Jr.: A study of the circulation in normal tendons and healing grafts. Ann. Surg. 149, 415 (1959)

    Google Scholar 

  15. Rathbun, J.B., Macnab, I.: The micro-vascular pattern of the rotator cuff. J. Bone Jt Surg. 52-B, 540 (1970)

    Google Scholar 

  16. Resnick, D., Shaul, S.R., Robins, J.M.: Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations. Radiology 115, 513 (1975)

    Google Scholar 

  17. Sundaram, M., Patton, J.T.: Paravertebral ossification in psoriasis and Reiter's disease, Brit. J. Radiol. 48, 628 (1975)

    Google Scholar 

  18. Vernon-Roberts, B., Pirie, C.J., Trenwith, V.: Pathology of the dorsal spine in ankylosing hyperostosis. Ann. rheum. Dis. 33, 281 (1974)

    Google Scholar 

  19. Zvaifler, N.J., Martel, W.: Spondylitis in chronic ulcerative colitis. Arthritis Rheum. 3, 76 (1960)

    Google Scholar 

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Patton, J.T. Differential diagnosis of inflammatory spondylitis. Skeletal Radiol. 1, 77–85 (1976). https://doi.org/10.1007/BF00347412

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