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However, he also exhibited signs of bilateral sacroiliitis highly suggestive of axial SpA for which he initiated biological therapy.<\/jats:p>","DOI":"10.12890\/2023_003721","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T09:58:34Z","timestamp":1673344714000},"source":"Crossref","is-referenced-by-count":0,"title":["Not so Mutually Exclusive Diseases: A Case of Co-occurrence of Inflammatory Spondyloarthritis and Diffuse Skeletal Hyperostosis in a Young Patient"],"prefix":"10.12890","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9769-5579","authenticated-orcid":false,"given":"Filipa","family":"Taborda","sequence":"first","affiliation":[{"name":"Internal Medicine Department, Hospital de Cascais, Alcabideche, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2116-9473","authenticated-orcid":false,"given":"Duarte Andr\u00e9","family":"Ferreira","sequence":"first","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar do Funchal, Funchal, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2355-4623","authenticated-orcid":false,"given":"Teresa","family":"Mendon\u00e7a","sequence":"first","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar Universit\u00e1rio do Porto EPE, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0215-0806","authenticated-orcid":false,"given":"F\u00e1tima","family":"Farinha","sequence":"first","affiliation":[{"name":"Clinical Immunology Unit, Centro Hospitalar Universit\u00e1rio do Porto EPE, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2023,2,3]]},"reference":[{"doi-asserted-by":"crossref","unstructured":"<li>Mader R, Pappone N, Baraliakos X, Eshed I, Sarzi-Puttini P, Atzeni F, et al. Diffuse idiopathic skeletal hyperostosis (DISH) and a possible inflammatory component. <em>Curr Rheumatol Rep<\/em>. 2021;<strong>23<\/strong>:6.<\/li>","key":"10.12890\/2023_003721_ref1","DOI":"10.1007\/s11926-020-00972-x"},{"doi-asserted-by":"crossref","unstructured":"<li>Kuperus JS, Waalwijk JF, Regan EA, van der Horst-Bruinsma, Cumhur Oner F, de Jong PA, et al. Simultaneous occurrence of ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis: A systematic review. <em>Rheumatology (Oxford)<\/em>. 2018;<strong>57<\/strong>:2120-2128.<\/li>","key":"10.12890\/2023_003721_ref2","DOI":"10.1093\/rheumatology\/key211"},{"doi-asserted-by":"crossref","unstructured":"<li>Mader R, Verlaan J-J, Eshed I, Bruges-Armas J, Sarzi Puttini P, Atzeni F, et al. Diffuse idiopathic skeletal hyperostosis (DISH): Where are we now and where to go next. <em>RMD Open<\/em>. 2017;<strong>3<\/strong>:e000472.<\/li>","key":"10.12890\/2023_003721_ref3","DOI":"10.1136\/rmdopen-2017-000472"},{"doi-asserted-by":"crossref","unstructured":"<li>Quintero-Gonzalez DC, Arbel\u00e1ez-Cort\u00e9s \u00c1, Rueda JM. Clinical and radiological characteristics of diffuse idiopathic skeletal hyperostosis in two medical centers in Cali, Colombia: Report of 24 cases. <em>Rev Colomb Reumatol<\/em> 2020;<strong>27<\/strong>:80\u201387.<\/li>","key":"10.12890\/2023_003721_ref4","DOI":"10.1016\/j.rcreue.2020.01.005"},{"doi-asserted-by":"crossref","unstructured":"<li>Ritchlin C, Adamopoulos IE. Axial spondyloarthritis: New advances in diagnosis and management. <em>BMJ<\/em> 2021;<strong>372:m4447.<\/li>","key":"10.12890\/2023_003721_ref5","DOI":"10.1136\/bmj.m4447"},{"doi-asserted-by":"crossref","unstructured":"<li>Navarro-Comp\u00e1n V, Sepriano A, El-Zorkany B, van der Heijde D. Axial spondyloarthritis. <em>Ann Rheum Dis.<\/em> 2021;<strong>80<\/strong>:1511-1521.<\/li>","key":"10.12890\/2023_003721_ref6","DOI":"10.1136\/annrheumdis-2021-221035"},{"doi-asserted-by":"crossref","unstructured":"<li>Kozanoglu E, Guzel R, Guler-Uysal F, Goncu K. Coexistence of diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis: A case report. <em>Clin Rhematol.<\/em> 2002;21:258-260.<\/li>","key":"10.12890\/2023_003721_ref7","DOI":"10.1007\/PL00011224"},{"doi-asserted-by":"crossref","unstructured":"<li>Latourte A, Charlon S, Etcheto A, Feydy A, Allanore Y, Dougados M, et al. Imaging findings suggestive of axial spondyloarthritis in diffuse idiopathic skeletal hyperostosis. <em>Arthritis Care Res (Holboken)<\/em>. 2018;<strong>70<\/strong>:145-152.<\/li>","key":"10.12890\/2023_003721_ref8","DOI":"10.1002\/acr.23244"},{"doi-asserted-by":"crossref","unstructured":"<li>Betsinger TK, Scott AB. Back-to-back: The co-occurrence of DISH and ankylosing spondylitis from early modern Poland. <em>Int J Paleopathol<\/em>. 2022;<strong>40<\/strong>:1-6.<\/li>","key":"10.12890\/2023_003721_ref9","DOI":"10.1016\/j.ijpp.2022.11.002"},{"doi-asserted-by":"crossref","unstructured":"<li>DiGiovanna JJ. Isotretinoin effects on bone. <em>J Am Acad Dermatol<\/em>. 2001;<strong>45<\/strong>:S176-S182.<\/li>","key":"10.12890\/2023_003721_ref10","DOI":"10.1067\/mjd.2001.113721"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3721\/3330","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3721\/3331","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3721\/3331","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T13:22:50Z","timestamp":1755696170000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/3721"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,3]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.12890\/2023_003721","relation":{"has-manifestation":[{"id-type":"other","id":"1-94-3721-g3330","asserted-by":"subject"},{"id-type":"other","id":"1-94-3721-g3331","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-94","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2023,2,3]]}}}