20-year-old male, who consults for lumbosacral pain of inflammatory rhythm of 4 months of evolution. Also bilateral thalalgia and morning stiffness for 1 hour. In the last 2 months, onset of diarrhea with loss of 4 kg of weight. What is the most correct diagnostic approach?
The patient presents the clinical features of spondylarthropathy, which is often associated with inflammatory bowel disease, as this case suggests.
Given the patient's age, he most likely suffers from non-specific low back pain and tendonitis of the feet. If the diarrhea persists, a digestive study would be performed.
Perform a digestive study to rule out tumor pathology. Low back pain may be due to visceral pathology.
The clinical picture is very suggestive of spondyloarthritis. Inflammatory bowel disease should be ruled out.
I would request a lumbar MRI to rule out disc herniation and if diarrhea persists, a digestive study.
The patient presents the clinical features of spondylarthropathy, which is often associated with inflammatory bowel disease, as this case suggests.