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A 56-year-old gentleman had a history suggestive of inflammatory arthritis with knee joint swelling with hip and shoulder pain for 12 years. Axial symptoms of back pain and gradually developing immobility were also present. He had received a diagnosis of ankylosing spondylitis, and non-steroidal anti-inflammatory drugs with disease modifying antirheumatic drugs had been tried without much relief. He underwent …
Contributors AZ, SP and RM were involved in patient care. AZ and SP prepared the manuscript and performed the necessary literature search while RM reviewed the manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.