Intended for healthcare professionals


“I’ve got a lump in my throat”

BMJ 2017; 357 doi: (Published 20 April 2017) Cite this as: BMJ 2017;357:j1209
  1. Anam Ahmad, rheumatology registrar,
  2. Gerald George, rheumatology consultant
  1. Rheumatology Department, Medway Hospital, Gillingham, Kent, UK
  1. anamahmad196{at}

A 64 year old man with established HLA B27 positive ankylosing spondylitis (fig 1, left) developed progressive dysphagia to …

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