The Journal of the Korean Rheumatism Association 2007; 14(1): 66-70
Published online March 30, 2007
© Korean College of Rheumatology
장재호·김용훈*·윤보영
인제대학교 의과대학 일산백병원 내과학교실, 영상의학과학교실*
Correspondence to : Bo Young Yoon
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.
Keywords Rheumatoid arthritis, Atlantoaxial subluxation
The Journal of the Korean Rheumatism Association 2007; 14(1): 66-70
Published online March 30, 2007
Copyright © Korean College of Rheumatology.
장재호·김용훈*·윤보영
인제대학교 의과대학 일산백병원 내과학교실, 영상의학과학교실*
Je Ho Chang, M.D., Yong Hoon Kim, M.D.*, Bo Young Yoon, M.D.
Departments of Internal Medicine and Radiology*, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea
Correspondence to:Bo Young Yoon
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.
Keywords: Rheumatoid arthritis, Atlantoaxial subluxation
Byeongzu Ghang, M.D., Ph.D., Jin Kyun Park, M.D., Ph.D., Ji Hyeon Ju, M.D., Ph.D., Seungwoo Han, M.D., Ph.D.
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