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Case 16 

Case 16
Chapter:
Case 16
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0016
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date: 23 October 2019

A 67-year-old man with a 26-year history of AS presented to the rheumatology clinic with increased pain in his back. Four months previously he had been admitted under the general medical team after collapsing at home. A diagnosis of pulmonary embolism was made and confirmed on a computed tomography pulmonary angiogram (CTPA). The patient was discharged home on wafarin, but continued to have severe pain in his back. The pain was not alleviated by exercise, prevented sleep, and was very debilitating.

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