一例以颈椎受累为主的早发性强直性脊柱炎罕见病例。
An Unusual Case of Early-onset Ankylosing Spondylitis with Predominant Cervical Spine Involvement.
作者信息
Kumar S Venkatesh, Kapuriya Jalpesh Sureshbhai, Solankey Rupali Dnyandeo, Sathyendra K G, Venkatesh Rohini, Pandian Arun
机构信息
Department of Orthopaedics, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil Nadu, India.
Department of Anesthesia and Critical Care, Max Hospital Shalimar Bagh, New Delhi, India.
出版信息
J Orthop Case Rep. 2024 Nov;14(11):120-123. doi: 10.13107/jocr.2024.v14.i11.4936.
INTRODUCTION
Ankylosing spondylitis (AS) is a chronic, inflammatory disease of the axial spine characterized by the involvement of the spine and sacroiliac (SI) joints. Increasing spinal stiffness and persistent back pain are the most typical symptoms of this systemic illness. The most often affected areas in AS are the lumbosacral spine and the sacroiliac joints.
CASE REPORT
We report this uncommon case of a 30-year-old male patient recently diagnosed with AS having an exclusive cervical spine involvement corroborated by X-rays and magnetic resonance imaging.
CONCLUSION
The results of the lumbosacral spine, fingers, chest, and sacroiliac joint examinations were normal. The examination of the sacroiliac joint, lumbosacral spine, chest, and digits was normal. The pain and neck stiffness were partially relieved by pharmacotherapy (NSAIDS) and physiotherapy. This is a rare presentation of AS, the reported literature on such case reports are very rare.
引言
强直性脊柱炎（AS）是一种以脊柱和骶髂关节受累为特征的慢性炎症性轴性脊柱疾病。脊柱僵硬加剧和持续性背痛是这种全身性疾病最典型的症状。AS最常受累的部位是腰骶部脊柱和骶髂关节。
病例报告
我们报告了这例不常见的病例，一名30岁男性患者最近被诊断为AS，X线和磁共振成像证实其仅颈椎受累。
结论
腰骶部脊柱、手指、胸部和骶髂关节检查结果均正常。骶髂关节、腰骶部脊柱、胸部和手指检查均正常。药物治疗（非甾体抗炎药）和物理治疗使疼痛和颈部僵硬得到部分缓解。这是AS的一种罕见表现，关于此类病例报告的文献非常少见。
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