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Although late-onset spondyloarthropathy (SpA) is not rare, it is usually associated with peripheral joint involvement, which is relatively easier to recognise.1–3 We report a case of an elderly woman with late-onset SpA who presented with axial disease, where the diagnosis was established by magnetic resonance imaging (MRI). This shows the potential of MRI for defining the full spectrum of SpA-related diseases.
The patient was a 75-year-old female who presented with a one-year history of vague pain in the thoracic spine left posterior chest radiating to the left mid-axillary line and associated early morning stiffness for 2–3 hours. Her respiratory and cardiac systems were unremarkable, and …
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