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COMBINATION OF SEVERE DESTRUCTIVE SPONDYLITIS IN THE ONSET OF INFLAMMATORY BOWEL DISEASE IN A 13-YEAR-OLD ADOLESCENT

The paper presents a clinical case of severe destructive ankylosing spondylitis in a 13-year-old adolescent in combination with inflammatory bowel disease, in the onset of which serious functional limitations, high inflammatory activity and multiple erosive spinal injuries were revealed. The search for the causes of such an unusually of such an unusually severe course of spondyllitis after exclusion of infectious osteomyelitis, malignant neoplasms, non-bacterial osteomyelitis led to the discovery of asymptomatic ileocolitis, with a high degree of activity, massive ulcerative lesions of the ileum and colon, despite the complete absence of clinical gastrointestinal symptoms.