Differential diagnosis of inflammatory spondylitis

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...
Ausführliche Beschreibung

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). Ausführliche Beschreibung