He is referred to the Orthopedics Department of the Rafael Angel Calderón Guardia Hospital because of the incidental finding in an intravenous pyelogram study of symmetrical hyperostic spots in both hips and sacroiliac joints.The patient complaints of occasional pain in both lower limbs, mild, ill-defined, non-progressive, usually in the morning that has developed for several months and reports no other symptoms of the musculoskeletal system.
El paciente manifiesta en ambos miembros inferiores un dolor ocasional, leve, mal definido, no progresivo, por lo general matutino, de varios meses de evolución y sin otros síntomas del sistema musculoesquelético.