Andersson lesion in ankylosing spondylitis misdiagnosed as spinal tuberculosis: two cases

Andersson lesion (AL) is a rare complication of ankylosing spondylitis, which can be easily misdiagnosed in clinical practice as an infectious disease (such as spinal tuberculosis) or as a neoplastic disease. Here we report two cases of AL which had been misdiagnosed as spinal tuberculosis. We hope to alert all clinicians to tuberculosis and ankylosing spondylitis, and help them to identify these diseases more accurately.

[1]  Michael A. Galgano,et al.  Challenges in the Diagnosis and Management of Spinal Tuberculosis: Case Series , 2019, Cureus.

[2]  D. Hao,et al.  Posterior surgical treatment of ankylosing spondylitis with spinal tuberculosis , 2018, Medicine.

[3]  Hongcheng Shi,et al.  Andersson's lesion in ankylosing spondylitis diagnosed by 18F-FDG PET/CT. , 2018, Hellenic journal of nuclear medicine.

[4]  Z. Wang,et al.  Posterior wedge osteotomy and debridement for Andersson lesion with severe kyphosis in ankylosing spondylitis , 2017, Journal of Orthopaedic Surgery and Research.

[5]  P. Tugwell,et al.  TNF-alpha inhibitors for ankylosing spondylitis. , 2015, The Cochrane database of systematic reviews.

[6]  V. Russo,et al.  Andersson lesion in ankylosing spondylitis. , 2014, The spine journal : official journal of the North American Spine Society.

[7]  C. Bao,et al.  Efficacy and safety of adalimumab in Chinese adults with active ankylosing spondylitis: results of a randomised, controlled trial , 2013, Annals of the rheumatic diseases.

[8]  A. Krishnan,et al.  Andersson lesion: are we misdiagnosing it? A retrospective study of clinico-radiological features and outcome of short segment fixation , 2011, European Spine Journal.

[9]  B. V. van Royen,et al.  Discovertebral (Andersson) lesions of the spine in ankylosing spondylitis revisited , 2009, Clinical Rheumatology.

[10]  A. L. Taylor,et al.  Tumour necrosis factor inhibitors in ankylosing spondylitis , 2008, Internal medicine journal.

[11]  W. Dihlmann,et al.  [Spinal hemangioma in the roentgen picture of the Andersson lesion in ankylosing spondylitis]. , 1983, Zeitschrift fur Rheumatologie.