Uitz E, Aglas F, Hermann J, Rainer F, Kleinert R, Krejs G J
Medizinischen Universitätsklinik Graz.
Wien Med Wochenschr. 1996;146(17):468-71.
A 41-year old caucasian male presented with limited range of motion of the entire spine and myogenous intermittent claudication. He was referred with the diagnosis "ankylosing spondylitis". The clinical picture mimicked ankylosing spondylitis, but there were no corresponding radiological abnormalities despite a 13-year history of his disease. Laboratory values showed markedly elevated levels of muscle enzymes. The diagnosis of rigid spine syndrome, a subtype of muscular dystrophy, was made from the clinical picture a normal EMG and degenerative changes on a biopsy from the muscle trapezius. We would like to draw attention to this rare cause of back pain.
一名41岁的白种男性出现整个脊柱活动范围受限和肌源性间歇性跛行。他被转诊时诊断为“强直性脊柱炎”。临床表现类似强直性脊柱炎，但尽管患病13年，却没有相应的放射学异常。实验室检查值显示肌肉酶水平显著升高。根据临床表现、正常的肌电图以及斜方肌活检的退行性改变，诊断为僵硬脊柱综合征，这是肌肉萎缩症的一种亚型。我们想提请注意这种引起背痛的罕见病因。
