Early Symptomatic Cervical Spine Involvement in an Infant with Polyarticular Juvenile Idiopathic Arthritis

Abstract

A one-year old male baby was admitted with symptoms of an inability to move his neck, occasional fever and swollen wrist, elbow and ankle joints for the last 4 months. The irritable baby was not turning his head, but instead turned his entire body to look at objects around the room and cried on minimal handling (Picture A). He was born at term, appropriate for the gestational age, and achieved the age-appropriate developmental milestones until 8 months of age. Age-appropriate language and social milestones were reached. The