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A 32 year-old man presents to his physician complaining of lower back pain for 3 months. He describes his pain as dull pain involving his lower back and upper gluteal region. He also complains of stiffness of his lower back in the morning that improves with physical activity. The patient also suffers pain in his left eye with redness. His vision is fine but light bothers him and he has to put sunglasses to tolerate it. Physical examination shows inflammation of his left eye and positive Schober's test of the lower back. His x-ray on the image shows changes in the sacro-iliac joint.
What is the most likely diagnosis?

A- Lumbar disc prolapse

B- Ankylosing spondylitis

C- Kyphosis

D- Osteoarthritis

E- Rheumatoid arthritis
http://medical-usmle.com/?p=1061
 
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