Would like to know DD & how to proceed to investigate

@ Chief Complaints 34yrs Male with pain Neck, back & Knees History Not significant Vitals Normal Physical Examination Tenderness Cspine, SI Jts & Crepitus Knees Investigations TLC 14300 P 78%(11200), L11.2%(1600),ESR 101, CRP 212, AntiCCP& HLAB27 negative ANA not yet done. CxR normal. Degenerative changes in C& L spine & OA Knees

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It could be seronegative spondyloarthropathy. Plz refer to a rheumatologist.

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