Case

The Journal of the Korean Rheumatism Association 2007; 14(1): 66-70

Published online March 30, 2007

© Korean College of Rheumatology

고리중쇠관절 부분탈구가 말초관절염보다 선행된 류마티스관절염 1예

장재호·김용훈*·윤보영

인제대학교 의과대학 일산백병원 내과학교실, 영상의학과학교실*

A Case of Rheumatoid Arthritis Presenting Initially as Atlantoaxial Subluxation

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

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.

Keywords Rheumatoid arthritis, Atlantoaxial subluxation

Article

Case

The Journal of the Korean Rheumatism Association 2007; 14(1): 66-70

Published online March 30, 2007

Copyright © Korean College of Rheumatology.

고리중쇠관절 부분탈구가 말초관절염보다 선행된 류마티스관절염 1예

장재호·김용훈*·윤보영

인제대학교 의과대학 일산백병원 내과학교실, 영상의학과학교실*

A Case of Rheumatoid Arthritis Presenting Initially as Atlantoaxial Subluxation

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

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.

Keywords: Rheumatoid arthritis, Atlantoaxial subluxation

JRD
Jan 01, 2025 Vol.32 No.1, pp. 1~7
COVER PICTURE
Cumulative growth of rheumatology members and specialists (1980~2024). Cumulative distribution of the number of the (A) Korean College of Rheumatology members and (B) rheumatology specialists. (J Rheum Dis 2025;32:63-65)

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