29th September 2020

A 51-year-old gentleman with a 10 year history of ankylosing spondylitis presents to his GP

A 51-year-old gentleman with a 10 year history of ankylosing spondylitis presents to his GP after feeling “not quite right” for a couple of weeks. He finds he cannot walk to the shops like normal, and often gets a “fluttery” feeling in his chest. His wife states that he often wakes up gasping in the middle of the night. 

For the description above, please match the SINGLE most likely clinical manifestation of Ankylosing Spondylitis. Select ONE option from the list above.