Turkish Journal of Internal Medicine (Jan 2021)

A Young Female With Low Back Pain Caused by Stage IV Lung Cancer

  • Firdevs Ulutaş,
  • Ferda Bir,
  • Uğur Karasu,
  • Veli Çobankara,
  • Mahmut Demirci

DOI
https://doi.org/10.46310/tjim.794913
Journal volume & issue
Vol. 3, no. 1
pp. 26 – 29

Abstract

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Abstract Low back pain is one of the most common symptoms, having a broad range of etiologies in differential diagnosis, such as inflammatory and degenerative disorders, malignancy and infections. Herein we present an interesting patient who initially presented with sacroiliitis and was ultimately diagnosed with stage IV lung cancer. She was initially misdiagnosed as axial spondyloarthritis. We aim to emphasize red flags in the differential diagnosis of sacroiliitis. Hypercalcemia and progressive, unbearable low back pain were supportive factors for underlying malignancy in our case.

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