Contributed by Karen E. Schoedel, M.D. and Paul S. Dickman, M.D.
Published on line in April 1997
Disclosure Statement: In accordance with the policies on disclosure of the Accreditation Council for Continuing Medical Education and the Faculty Advisory Committee for Continuing Education in the Health Sciences, University of Pittsburgh, presenters for this program have identified no personal relationships with a health care product company which, in the context of their topics, could be perceived as a real or apparent conflict of interest.
This 19 year old man complained of unremitting, progressive low back pain for several months. Otherwise, he was in good general health without other medical problems. Family history and review of systems were noncontributory. Physical examination revealed no sensory or motor deficits. No mass lesion or lymphadenopathy was detected.