Rheumatologie: Aktuelle Forschung
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Manubriosternal Joint Involvement as the Presenting Feature of Axial Spondyloarthritis

Monique O, Azal AA, Myint T, Paul W, Gurjit KS

Spondyloarthritis has two hallmark features characterized active inflammation and structural lesions with new bone formation. Axial spondyloarthritis manifests as arthritis and enthesis of the axial skeleton, usually presenting with inflammatory back pain. Anterior chest wall pain is an under-recognized feature of axial spondyloarthritis and is rarely the presenting symptom, however, when present may suggest severe disease. We present the case of a 35-year-old female with recurring presentations of debilitating chest pain, subsequently diagnosed with axial spondyloarthritis. Awareness of this atypical presentation can lead to earlier diagnosis and treatment, which is more effective when used in the early stages of the disease process.