International medical case reports journal
Non-Radiographic Axial Spondyloarthritis Presenting with Anterior Chest Wall Pain without Inflammatory Back Pain in an HLA-B27-Negative Young Man: A Case Report Highlighting Diagnostic Challenges
By Gergeus R, Nasra AB, Barghouth R and 1 others.
Abstract
Background
Non-radiographic axial spondyloarthritis (nr-axSpA) may present with heterogeneous and misleading clinical features, particularly when inflammatory back pain is absent and HLA-B27 is negative. Such presentations can delay recognition and make classification frameworks difficult to apply in routine diagnosis.





