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General Medicine General 62b6bcc3

A 17-year-old boy presents with chronic low back pain and stiffness for the past 8 months. He denies any GIT or genital infections. His temp is 98.6 F. Lab investigation shows normal ESR and negative RA factor. X-ray films of the vertebral column show flattening of the lumbar curve and subchondral bone erosion involving the sacroiliac joints. Most likely diagnosis?

A
Ankylosing spondylitis
B
Degenerative join disease
C
Reiter syndrome
D
Seronegative rheumatoid arthritis

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