Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
163 Doctors are Online

Can just upper back pain indicate ankylosing spondylitis ?

can only upper back pain and chest stiffness and mild breathing difficulty be a sign of AS. no lower back pain . HLA B 27 positive. RA negative. uric acid normal. hb 13.1. age 37. male. pain for last 10 months. mri, x rays normal. esr , crp normal. weight 70.5 kg. height 5 8 . not taking any medicine despite nsaid and muscle relaxant prescriptions. stiffness between shoulder blades always there on getting up after lying down for 5 minutes or more. but no pain while i am lying down. feel it only after getting up and pulling shoulders back. sometimes feel feverish and kind of unwell. dizziness also and kind of weak feeling in right arm. strength and all is ok...but its a feeling of weakness. what could this be? i am tired of confusing diagnosis and this sick feeling.
Asked On : Mon, 11 Apr 2011
Answers:  1 Views:  366
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Lab Tests
Medical Topics
General & Family Physician 's  Response
Ankylosing Spondylitis commonly occurs in males between 20-40. Co-relation with HLA B27 is strong. I is an auto-immune disorder. For diagnosis CT Scan / MRI can be done for upper lumbar vertebrae. Also Antineutrophil cytoplasmic antibodies, Tumor necrosis factor-alpha (TNF α) and IL-1 are important diagnostic tools.
Your breathlessness may be because of apical lung fibrosis which can be checked by CT / MRI.
Schober's test can be done to note the normal increase in the distance between two fixed point while flexion of spine as compared to during straight / erect position.
Ankylosing spondylitis is sero-negative spondyloarthropathies, where RA factor would be negative.
Answered: Mon, 11 Apr 2011
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor