title: AS, DISH or something else?
abstract: A 68-year-old farmer presented with progressively worsening pain in multiple joints associated with stiffening for 9 months. Locomotor examination revealed grossly restricted movement of the axial skeleton. There were no neurological deficits. Radiological evaluation demonstrated diffuse bone densification and extraspinal calcification with bony ankylosis reminiscent of ankylosing spondylitis. Laboratory tests subsequently yielded the true diagnosis. The patient was counselled accordingly and started on appropriate therapy.
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Kushal
authors.initials: K
authors.lastname: Naha
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Sowjanya
authors.initials: S
authors.lastname: Naha
authors.affiliation: Department of Cardiology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Ganapathiraman
authors.initials: G
authors.lastname: Vivek
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Balasubramanian
authors.initials: B
authors.lastname: Ramachandran
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005458:Fluoride Poisoning / Q000175:diagnosis*; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal / Q000175:diagnosis*; D008297:Male; D013167:Spondylitis, Ankylosing / Q000175:diagnosis*