RESUMO
No abstract available.
Assuntos
Adulto , Humanos , Masculino , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/complicações , Anticorpos Anticitoplasma de Neutrófilos/sangue , Biomarcadores/sangue , Biópsia , Quimioterapia Combinada , Imunofluorescência , Glomerulonefrite por IGA/complicações , Imunossupressores/uso terapêutico , Mieloblastina/imunologia , Resultado do TratamentoRESUMO
No abstract available.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Anti-Inflamatórios/administração & dosagem , Artrite Reumatoide/complicações , Vértebras Cervicais/patologia , Infusões Intravenosas , Imageamento por Ressonância Magnética , Bulbo/efeitos dos fármacos , Metilprednisolona/administração & dosagem , Resultado do TratamentoRESUMO
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.