CASE 151 History: A 55-year-old man with end-stage renal disease who is on long-term hemodialysis presents with recent severe neck pain, upper extremity numbness, and weakness. 1. What should be included in the differential diagnosis? (Choose all that apply.) b. Neuropathic spondyloarthropathy (Charcot spine) c. Dialysis-induced spondyloarthropathy d. Degenerative spondyloarthritis 2. All of the following are underlying mechanisms of dialysis-induced spondyloarthropathy except: a. β2-Microglobulin amyloidosis b. Crystal-induced arthropathy c. Aluminum-induced spondyloarthropathy 3. Which MRI finding is characteristic in dialysis-induced spondyloarthropathy? 4. What is the most reliable way to differentiate between an infectious and a noninfectious cause in patients with chronic renal disease and rapidly progressive spondyloarthropathy?
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