Tuberc Respir Dis.  1988 Jun;35(2):138-143. 10.4046/trd.1988.35.2.138.

A case of Ankylosing Spondylitis Associated with Fibrobullous Lung Lesion

• KMID: 2528617
• DOI: http://doi.org/10.4046/trd.1988.35.2.138

Abstract

Ankylosing spondylitis is a multisystem disease. It’s extraskeletal manifestations contain fibrobullous lesions in upper lobes of lung which are confused with pulmonary tuberculosis. We report a case of 59-year-old man with ankylosing spondylitis who has fibrobullous lung lesions which was confused with pulmonary tuberculosis. On radiological examinations, he had bamboo spine, kyphosis and severely narrowed sacroiliac joint space. HLA B-27 was positive. He had fibrobullous lung lesions in both upper lobes which had not progressed for 6 years without antituberculosis medications. And then he took antituberculous medications for 2 years, but symptomatic and radiological improvement were not developed. Multiple sputum A FB stains were negative. So, we conclude that he has fibrobullous pulmonary involvements of ankylosing spondylitis.