Cervical arthritis as presentation of oligoarticular juvenile idiopathic arthritis

Coutinho, Rita; Estanqueiro, Paula; Alves, Cristina; Salgado, Manuel

doi:10.5455/apr.022720171305

Ann Paediatr Rheum

2017

DOI: 10.5455/apr.022720171305

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Cervical arthritis as presentation of oligoarticular juvenile idiopathic arthritis

Rita Coutinho¹,

Paula Estanqueiro²,

Cristina Alves³

et al.

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2021

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“…7 The initial work-up for our patient was extensive due to the broad differential diagnosis and rare involvement of the cervical spine in early phases of JIA. 8,9 Griesel syndrome provided a prominent differential in our patient due to similarities in presentation. This rare syndrome typically presents with torticollis and neck pain due to atlantoaxial subluxation emerging after the development of inflammation in the neck.…”

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confidence: 85%

Torticollis as a Sole Presentation of Spondyloarthritis in a 4-Year-Old Child

2021

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Spondyloarthritis presents in various and occasionally unusual ways that imitates other diseases. Without forthcoming risk factors, such atypical presentation may elude diagnosis for months. The case presented here of a child, aged 4 years, who is negative for human leukocyte antigen B27 (HLA-B27) and with no family history of HLA-B27 related disease, who developed torticollis with neck pain and lymphadenopathy, highlights the necessity of continually evaluating a diagnosis, especially when treatment fails to produce expected results. Painful torticollis in a child with adenopathy often is infectious in nature or potentially due to Griesel syndrome when persistent. Chronic arthritis of the cervical spine may enter the differential diagnosis when torticollis is persistent, and early recognition and aggressive treatment is necessary to prevent permanent functional impairment.

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Torticollis as a Sole Presentation of Spondyloarthritis in a 4-Year-Old Child

2021

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Cervical arthritis as presentation of oligoarticular juvenile idiopathic arthritis

Cited by 1 publication

References 12 publications

Torticollis as a Sole Presentation of Spondyloarthritis in a 4-Year-Old Child

Torticollis as a Sole Presentation of Spondyloarthritis in a 4-Year-Old Child

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