Abstract
Background A 21-year-old white male with a 3-year history of back pain presented with a 6-month history of weight loss (without significant gastrointestinal symptoms), lethargy and left hip pain, and diarrhea that had lasted 4 days.
Investigations Barium follow-through, upper and lower gastrointestinal endoscopy and biopsies, capsule enteroscopy, CT of the chest and abdomen, measurement of the concentration of fecal calprotectin, intestinal absorption permeability test and wireless capsule endoscopy.
Diagnosis Ankylosing spondylitis associated with ileitis of spondylarthropathy.
Management Sulfasalazine and elemental diet, steroids, physiotherapy and bilateral hip replacement.
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Adebayo, D., Popat, R., Thjodleifsson, B. et al. Granulomatous ileitis in a patient with ankylosing spondylitis. Nat Rev Gastroenterol Hepatol 4, 347–351 (2007). https://doi.org/10.1038/ncpgasthep0836
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DOI: https://doi.org/10.1038/ncpgasthep0836