Cervical spine involvement as initial manifestation of rheumatoid arthritis: a case report
| Autor: | Araújo F, Silva I, Alexandre Sepriano, Reizinho C, Marques L, Nero P, Jc, Branco |
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| Přispěvatelé: | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM), Centro de Estudos de Doenças Crónicas (CEDOC) |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
lcsh:Immunologic diseases. Allergy
Adult Male musculoskeletal diseases Inflammatory pannus lcsh:Internal medicine rheumatoid arthritis cervical spine inflammatory pannus atlantoaxial subluxation Atlantoaxial subluxation ATLANTO-AXIAL SUBLUXATION Arthritis Rheumatoid Cervical spine Cervical Vertebrae Humans Spinal Diseases Rheumatoid arthritis lcsh:RC31-1245 lcsh:RC581-607 MYELOPATHY |
| Zdroj: | Acta Reumatológica Portuguesa, Vol 2015, Iss 1, Pp 64-67 (2015) Scopus-Elsevier CIÊNCIAVITAE Europe PubMed Central |
| Popis: | Rheumatoid arthritis' synovitis affects mostly small hand and feet joints, although it may compromise any joint with a synovial lining. Cervical involvement occurs usually in longstanding disease in over half of these patients. We report the case of a 35-year old male patient who was referred to our outpatient clinic for a 2-year severe and disabling inflammatory neck pain, with incomplete response to intramuscular non-steroidal anti-inflammatory drugs and unremarkable cervical imaging studies. He also mentioned self-limited episodes of symmetric polyarthralgia involving hands, wrists, elbows, knees and feet, which started after his cervical complaints. On laboratorial workup, positive rheurriatoid factor and anti-citrullinated peptide antibody and negative HLA-B27 were found. Cervical spine magnetic resonance imaging revealed atlantoaxial subluxation and odontoid process inflammatory pannus and erosions. Rheumatoid arthritis with cervical spine involvement as initial manifestation of disease was the definite diagnosis. The patient was started on methotrexate and prednisone and he was referred to neurosurgery outpatient clinic for cervical spine fixation. publishersversion published |
| Databáze: | OpenAIRE |
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