ABSTRACT
No abstract available.
Subject(s)
Adult , Humans , Male , Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/complications , Antibodies, Antineutrophil Cytoplasmic/blood , Biomarkers/blood , Biopsy , Drug Therapy, Combination , Fluorescent Antibody Technique , Glomerulonephritis, IGA/complications , Immunosuppressive Agents/therapeutic use , Myeloblastin/immunology , Treatment OutcomeABSTRACT
No abstract available.
Subject(s)
Female , Humans , Middle Aged , Anti-Inflammatory Agents/administration & dosage , Arthritis, Rheumatoid/complications , Cervical Vertebrae/pathology , Infusions, Intravenous , Magnetic Resonance Imaging , Medulla Oblongata/drug effects , Methylprednisolone/administration & dosage , Treatment OutcomeABSTRACT
Ankylosing spondylitis (AS) is a chronic inflammatory rheumatological disease affecting the axial skeleton with various extra-articular complications. Dysphagia due to a giant anterior osteophyte of the cervical spine in AS is extremely rare. We present a 48-year-old male with AS suffering from progressive dysphagia to soft foods and liquids. Esophagography showed an anterior osteophyte at C5-C6 resulting in esophageal compression. The patient refused surgical resection of the osteophyte and received conservative therapy. However, after 6 months there was no improvement in dysphagia. This case illustrates that a large cervical osteophyte may be the cause of dysphagia in patients with AS and should be included in the diagnostic workup in early stages of the disease.