Clinical rheumatology
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Clinical rheumatology · Jun 1989
Case ReportsA destructive discovertebral lesion: septic discitis, ankylosing spondylitis, or rheumatoid arthritis?
A 41-year-old male with a 20-year history of classical ankylosing spondylitis, psoriasis and seropositive, nodular erosive rheumatoid arthritis presented with a 12-month history of thoracolumbar junction pain following minor trauma. A pseudoarthrosis was noted at the T11/12 level on plain radiographs and tomograms. ⋯ A typical Andersson lesion was found at operation. The diagnostic and therapeutic problems of such discovertebral lesions are discussed.