Rastegar Khodakaram, Ghalaenovi Hossein, Babashahi Ali, Shayanfar Nasrin, Jafari Mohammad, Jalalian Mehrdad, Fattahi Arash
Neurosurgery ward of Rasool-e-Akram Hospital Complex, Department of Neurosurgery, Iran University of Medical Science, Tehran, Iran.
Pathology ward of Rasool-e-Akram Hospital Complex, Department of Pathology, Iran University of Medical Science, Tehran, Iran.
Open Rheumatol J. 2014 Oct 24;8:82-8. doi: 10.2174/1874312901408010082. eCollection 2014.
Spine involvement is less common in Reiter's syndrome than in other seronegative spondyloarthropathies. Also, cervical spine involvement rarely occurs in Reiter's syndrome and other spondyloarthropathies. This paper reports a rare case of Reiter's syndrome in which there was cervical spine involvement that presented clinically as an atlanto-axial rotatory subluxation. Reiter's Syndrome (RS) is one of the most common types of seronegative spondyloarthropathies (SSAs) that presents clinically with a triad of symptoms, i.e., conjunctivitis, urethritis, and arthritis. This case highlighted the importance of radiographs of the lateral cervical spine and dynamic cervical imaging for all patients who have Reiter's syndrome with cervical spine symptoms to ensure that this dangerous abnormality is not overlooked.
与其他血清阴性脊柱关节病相比，赖特综合征累及脊柱的情况较少见。此外，颈椎受累在赖特综合征和其他脊柱关节病中也很少发生。本文报告了一例罕见的赖特综合征病例，该病例颈椎受累，临床表现为寰枢椎旋转半脱位。赖特综合征（RS）是最常见的血清阴性脊柱关节病（SSAs）类型之一，临床上表现为三联征症状，即结膜炎、尿道炎和关节炎。该病例强调了对于所有有颈椎症状的赖特综合征患者进行颈椎侧位X线片和颈椎动态成像检查的重要性，以确保不遗漏这种危险的异常情况。
