Can these symptoms be diagnosed as ankylosing spondylitis?

Patient's question:

Back pain, joint pain, hand joint pain, leg pain, improves after exercise.
Past treatment history and effectiveness:
- Erythrocyte sedimentation rate: 54 mm/hr
- HLA-B27: 42
- Anti-OCRP: 50.70
- Sacroiliac joint CT: mild sclerosis
What kind of help is needed:
- Diagnosis: Is it ankylosing spondylitis?
- Medication: What medication should be used?

Doctor's answer:

Ankylosing spondylitis is a progressive disease, with its origin point being bilateral sacroiliac joints. It often recurs with pain in the lower lumbar spine and hip joints as it spreads upwards and downwards. Upper extension causes lumbar stiffness and pain. Ankylosing spondylitis is a chronic disease, not a general category of rheumatic immune diseases as described by unqualified doctors. Modern medicine has not yet fully clarified the cause of ankylosing spondylitis, and treatment is limited to treating symptoms rather than the root cause, falling under the category of symptomatic treatment.

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