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Fat-suppression magnetic resonance imaging in the diagnosis of late-onset axial spondyloarthropathy
  1. Sateesh Shankaranarayana1,
  2. Ai Lyn Tan2,
  3. Julie Madden1,
  4. Dennis McGonagle1,2
  1. 1
    Department of Rheumatology, Calderdale Royal Hospital, Salterhebble, Halifax, UK
  2. 2
    Academic Unit of Musculoskeletal Disease, University of Leeds and Chapel Allerton Hospital, Chapeltown Road, Leeds, UK
  1. Professor Dennis McGonagle, FRCPI PhD, Professor of Investigative Rheumatology, Academic Unit of Musculoskeletal Disease, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, UK; d.g.mcgonagle{at}

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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.13 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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