SECTION 1 – QUIZ
A 27-year-old patient, with no pathological antecedent, has presented with oligoarthralgia in the left side (hip, knee, and ankle) evolving for 3 months with functional impotence, fever, and lost weight of 10 kg in 3 months. On physical examination, we found the limitation of the left heel with swelling and left ankle pain. Figure 1 shows the X-ray of the pelvis and the thorax and the ultrasound image of the hip. The blood analysis showed a sedimentation rate to 69 mm/h, a C-reactive protein to 53 mg/L without leukocytosis in peripheral blood counts.
Figure 1.
(a) Radiograph of pelvis showing left coxitis and condensation of sacroiliac joint (b) thoracic X-ray showing infiltration of summit (c and d) ultrasound imaging of the left hip with and without Doppler showing synovial hypertrophy
WHAT IS THE DIAGNOSIS?
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