, Volume 4, Issue 1, pp 71-73
Date: 14 Dec 2007

Imaging of Juvenile Rheumatoid Arthritis

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Introduction

Juvenile rheumatoid arthritis (JRA) is a chronic, often debilitating disorder with multisystem involvement. Detailed imaging of JRA is needed for initial diagnosis, monitoring of disease activity, and determining extraarticular and other complications [1]. We present a case of a patient with chronic JRA and neck pain in which multiple imaging modalities were employed.

Case report

This is a 40-year-old female with a longstanding history of JRA presenting at this time for magnetic resonance imaging (MRI) of the cervical spine with neck pain and increasing numbness in the fingers. MRI of the cervical spine demonstrated the characteristic changes of an inflammatory arthritis with fusion of the vertebral bodies and posterior elements in the cervical and thoracic spines (Fig. 1). In addition, at C5–6, there was a broad-based, left-sided disc protrusion with severe central canal stenosis and abnormal cord signal (Fig. 2). Subsequent radiographs of the cervical spine again demonstrat ...