A Case of Rheumatoid Arthritis Presenting Initially as Atlantoaxial Subluxation / 대한류마티스학회지
The Journal of the Korean Rheumatism Association
; : 66-70, 2007.
Article
in Ko
| WPRIM
| ID: wpr-78262
Responsible library:
WPRO
ABSTRACT
We report here on a case of rheumatoid arthritis (RA) that progressed from the spine to the peripheral joints. In RA, the involvement of the cervical spine usually correlates with the progressive erosion of peripheral joints, such as the hand or foot, and the elevation of disease activity. Generally, it takes over 2 years of rheumatoid involvement of the cervical spine to cause laxity of the transverse ligament. The common types of rheumatoid cervical spine are anterior atlantoaxial subluxation, vertical subluxation and subaxial subluxation. We describe a 61-year-old woman with only neck pain initially. An MRI of the cervical spine showed atlantoaxial subluxation with features of the rheumatoid involvement. Arthritis later developed in both hands and symmetrically in other peripheral joints. She was diagnosed as having RA. This is the first case report of RA presenting initially as atlantoaxial subluxation.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Arthritis
/
Arthritis, Rheumatoid
/
Spine
/
Magnetic Resonance Imaging
/
Neck Pain
/
Foot
/
Hand
/
Joints
/
Ligaments
Limits:
Female
/
Humans
Language:
Ko
Journal:
The Journal of the Korean Rheumatism Association
Year:
2007
Type:
Article