Case Report
The Journal of the Korean Rheumatism Association 2010; 17(1): 81-85
Published online March 30, 2010
© Korean College of Rheumatology
원발성 담관암의 척추전이를 동반한 강직성척추염 환자 1예
손일웅ㆍ방소영ㆍ김담ㆍ김태환
한양대학교 의과대학 내과학교실, 류마티스병원 류마티스내과
A Case of Ankylosing Spondylitis with Spinal Metastasis of Cholangiocarcinoma
Correspondence to : Tae Hwan Kim
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.
Keywords Ankylosing spondylitis, Cholangiocarcinoma, Back pain
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Case Report
The Journal of the Korean Rheumatism Association 2010; 17(1): 81-85
Published online March 30, 2010
Copyright © Korean College of Rheumatology.
원발성 담관암의 척추전이를 동반한 강직성척추염 환자 1예
손일웅ㆍ방소영ㆍ김담ㆍ김태환
한양대학교 의과대학 내과학교실, 류마티스병원 류마티스내과
A Case of Ankylosing Spondylitis with Spinal Metastasis of Cholangiocarcinoma
Il Woong Sohn, So Young Bang, Dam Kim, Tae Hwan Kim
Division of Rheumatology, Department of Internal Medicine, The Hospital for Rheumatic Disease, Hanyang University College of Medicine, Seoul, Korea
Correspondence to:Tae Hwan Kim
Abstract
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.
Keywords: Ankylosing spondylitis, Cholangiocarcinoma, Back pain
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