28 year old male has a ten year history of low back pain with stiffness

Question Number 0597

Question:
a 28 year old male has a ten year history of low back pain with stiffness. The pain is anatomically localized over the sacroiliac joints radiates down the posterior of the thighs. Radiography demonstrates symmetrical blateral sacroiliitis. Which of the above tests would be most useful?

a) anti-cholinesterase antibody
b) HLA B27
c) Rheumatoid factor
d) Creatinine phosphokinase
e) aldolase activity


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