Tested HLA B27 positive. Feeling fatigued, sensitive back and buttocks. What could be the problem?
Thanks for the query.
Based on the symptoms and reports, you seem to be suffering from a condition called ankylosing spondylitis.
This is a condition where you suffer from inflammatory back pain. The hallmark of this condition is sacroiliitis which in the early stages is picked on MRI and later is even visible on an x-ray.
The XXXXXXX level does not seem to be related.
I suggest you start taking a daily dose of an NSAID like naproxen or etoricoxib after consulting a rheumatologist. If the appointment is not sooner, a general physician can prescribe the aforementioned drugs to you. You should start feeling better in a few days while on these drugs.
Hope this answers your query. Let me know if you have any further enquiries.
Thank you, XXXXXXX
In such confusional state, I would suggest my patient to get an MRI of the sacroiliac joints to confirm the diagnosis. That is the only way to see the presence of active disease.
Otherwise if you have clinical features of ankylosing spondylitis, a competent rheumatologist should be able to pick the clues and diagnose/rule it out. You don't need to suggest anything to him, let him give his own opinion. Let me know about your rheumatologist opinion and we can take it from there.
I hope to have solved your query. Please feel free to ask anything else if u wish to.
If you do not have any follow-ups for now, please close this discussion
All the Best!
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