Cervical spine involvement as initial manifestation of rheumatoid arthritis: a case report.
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| Title: | Cervical spine involvement as initial manifestation of rheumatoid arthritis: a case report. |
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| Authors: | Silva, Inês1, Araújo, Filipe1,2, Sepriano, Alexandre1,3, Nero, Patrícia1,4, Marques, Luís5, Reizinho, Carla5, Branco, Jaime C.1,4 |
| Source: | Acta Reumatológica Portuguesa. Jan-Mar2015, Vol. 40 Issue 1, p68-71. 4p. |
| Subjects: | CERVICAL vertebrae diseases, RHEUMATOID arthritis diagnosis, SYNOVITIS, JOINT pain, MAGNETIC resonance imaging, ETIOLOGY of diseases, THERAPEUTICS |
| Abstract: | Rheumatoid arthritis' synovitis affects mostly small hand and feet joints, although it may compromise any joint with a synovial lining. Cervical involvement occurs usually in longstanding disease in over half of these patients. We report the case of a 35-year old male patient who was referred to our outpatient clinic for a 2-year severe and disabling inflammatory neck pain, with incomplete response to intramuscular non-steroidal anti-inflammatory drugs and unremarkable cervical imaging studies. He also mentioned self-limited episodes of symmetric polyarthralgia involving hands, wrists, elbows, knees and feet, which started after his cervical complaints. On laboratorial workup, positive rheumatoid factor and anti-citrullinated peptide antibody and negative HLA-B27 were found. Cervical spine magnetic resonance imaging revealed atlantoaxial subluxation and odontoid process inflammatory pannus and erosions. Rheumatoid arthritis with cervical spine involvement as initial manifestation of disease was the definite diagnosis. The patient was started on methotrexate and prednisone and he was referred to neurosurgery outpatient clinic for cervical spine fixation. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Reumatológica Portuguesa is the property of Sociedade Portuguesa de Reumatologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 101890431 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Cervical spine involvement as initial manifestation of rheumatoid arthritis: a case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Silva%2C+Inês%22">Silva, Inês</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Araújo%2C+Filipe%22">Araújo, Filipe</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Sepriano%2C+Alexandre%22">Sepriano, Alexandre</searchLink><relatesTo>1,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Nero%2C+Patrícia%22">Nero, Patrícia</searchLink><relatesTo>1,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Marques%2C+Luís%22">Marques, Luís</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Reizinho%2C+Carla%22">Reizinho, Carla</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Branco%2C+Jaime+C%2E%22">Branco, Jaime C.</searchLink><relatesTo>1,4</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Reumatológica+Portuguesa%22">Acta Reumatológica Portuguesa</searchLink>. Jan-Mar2015, Vol. 40 Issue 1, p68-71. 4p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CERVICAL+vertebrae+diseases%22">CERVICAL vertebrae diseases</searchLink><br /><searchLink fieldCode="DE" term="%22RHEUMATOID+arthritis+diagnosis%22">RHEUMATOID arthritis diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22SYNOVITIS%22">SYNOVITIS</searchLink><br /><searchLink fieldCode="DE" term="%22JOINT+pain%22">JOINT pain</searchLink><br /><searchLink fieldCode="DE" term="%22MAGNETIC+resonance+imaging%22">MAGNETIC resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22ETIOLOGY+of+diseases%22">ETIOLOGY of diseases</searchLink><br /><searchLink fieldCode="DE" term="%22THERAPEUTICS%22">THERAPEUTICS</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Rheumatoid arthritis' synovitis affects mostly small hand and feet joints, although it may compromise any joint with a synovial lining. Cervical involvement occurs usually in longstanding disease in over half of these patients. We report the case of a 35-year old male patient who was referred to our outpatient clinic for a 2-year severe and disabling inflammatory neck pain, with incomplete response to intramuscular non-steroidal anti-inflammatory drugs and unremarkable cervical imaging studies. He also mentioned self-limited episodes of symmetric polyarthralgia involving hands, wrists, elbows, knees and feet, which started after his cervical complaints. On laboratorial workup, positive rheumatoid factor and anti-citrullinated peptide antibody and negative HLA-B27 were found. Cervical spine magnetic resonance imaging revealed atlantoaxial subluxation and odontoid process inflammatory pannus and erosions. Rheumatoid arthritis with cervical spine involvement as initial manifestation of disease was the definite diagnosis. The patient was started on methotrexate and prednisone and he was referred to neurosurgery outpatient clinic for cervical spine fixation. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Reumatológica Portuguesa is the property of Sociedade Portuguesa de Reumatologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 4 StartPage: 68 Subjects: – SubjectFull: CERVICAL vertebrae diseases Type: general – SubjectFull: RHEUMATOID arthritis diagnosis Type: general – SubjectFull: SYNOVITIS Type: general – SubjectFull: JOINT pain Type: general – SubjectFull: MAGNETIC resonance imaging Type: general – SubjectFull: ETIOLOGY of diseases Type: general – SubjectFull: THERAPEUTICS Type: general Titles: – TitleFull: Cervical spine involvement as initial manifestation of rheumatoid arthritis: a case report. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Silva, Inês – PersonEntity: Name: NameFull: Araújo, Filipe – PersonEntity: Name: NameFull: Sepriano, Alexandre – PersonEntity: Name: NameFull: Nero, Patrícia – PersonEntity: Name: NameFull: Marques, Luís – PersonEntity: Name: NameFull: Reizinho, Carla – PersonEntity: Name: NameFull: Branco, Jaime C. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan-Mar2015 Type: published Y: 2015 Identifiers: – Type: issn-print Value: 0303464X Numbering: – Type: volume Value: 40 – Type: issue Value: 1 Titles: – TitleFull: Acta Reumatológica Portuguesa Type: main |
| ResultId | 1 |
