Cervical involvement in juvenile-onset ankylosing spondylitis with bone scintigraphy

Rheumatology International volume 24, pages164–165(2004)Cite this article

Abstract

Juvenile-onset ankylosing spondylitis is an unusual disorder which can present with either peripheral arthritis or more classic hip girdle and back symptoms. A 12-year-old child with this disease was admitted with walking disorder, cervical pain, restricted cervical motion, and right ankle swelling. Diffusely increased accumulation of radioactivity in the cervical spine, focally increased accumulation in bilateral sacroiliac joints, and diminished irregular uptake in thoracal spine were detected on technetium 99m methylene diphosphonate bone scintigraphy. As a result, this imaging technique may give important information for diagnosis and differential diagnosis in juvenile chronic arthritis.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

US$ 39.95

Tax calculation will be finalised during checkout.

Fig. 1

References

  1. 1.

    Thompson GH, Khan MA, Bilenker RM (1982) Spontaneous atlantoaxial subluxation as a presenting manifestation of juvenile ankylosing spondylitis. A case report. Spine 7:78–79

    CAS  PubMed  Google Scholar 

  2. 2.

    Resnick D (2002) Juvenile chronic arthritis. In: Resnick D (ed) Diagnosis of bone and joint disorders. Fourth edn. Saunders, Philadelphia

  3. 3.

    Azouz EM, Duffy CM (1995) Juvenile spondyloarthropathies: clinical manifestations and medical imaging. Skeletal Radiol 24:399–408

    CAS  PubMed  Google Scholar 

  4. 4.

    Dougados M (1998) Follow-up of a patient with spondyloarthropathy (French). Ann Med Interne (Paris) 149:149–155

    Google Scholar 

  5. 5.

    Strom H, Lindvall N, Hellstrom B, Rosenthal L (1989) Clinical, HLA, and roentgenological follow up study of patients with juvenile arthritis: comparison between the long term outcome of transient and persistent arthritis in children. Ann Rheum Dis 48:918–923

    CAS  PubMed  Google Scholar 

  6. 6.

    Flato B, Smerdel A, Johnston V, Lien G, Dale K, Vinje O, Egeland T, Sorskaar D, Forre O (2002) The influence of patient characteristics, disease variables, and HLA alleles on the development of radiographically evident sacroiliitis in juvenile idiopathic arthritis. Arthritis Rheum 46:986–994

    Article  PubMed  Google Scholar 

  7. 7.

    Bollow M, Biedermann T, Kannenberg J, Paris S, Schauer-Petrowski C, Minden K, Schontube M, Hamm B, Sieper J, Braun J (1998) Use of dynamic magnetic resonance imaging to detect sacroiliitis in HLA-B27 positive and negative children with juvenile arthritides. J Rheumatol 25:556–564

    CAS  PubMed  Google Scholar 

  8. 8.

    Menkes CJ, Job-Deslandre C, Feldmann JL (1984) Juvenile-onset ankylosing spondylitis (French). Sem Hop 60:543–546

    CAS  PubMed  Google Scholar 

  9. 9.

    Bywaters EGL, Ansell BM (1965) Sacroiliitis in juvenile chronic polyarthritis. Z Rheumaforsch 24:122

    Google Scholar 

Download references

Author information

Affiliations

  1. Department of Nuclear Medicine, Inonu University, Turgut Ozal Medical Center, Elazig Avenue, 7. km., Malatya, Turkey

    Ersoy Kekilli, Cengiz Yagmur & Omer Murat Aydin

Authors
  1. Ersoy Kekilli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Cengiz Yagmur
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Omer Murat Aydin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ersoy Kekilli.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Kekilli, E., Yagmur, C. & Aydin, O.M. Cervical involvement in juvenile-onset ankylosing spondylitis with bone scintigraphy. Rheumatol Int 24, 164–165 (2004). https://doi.org/10.1007/s00296-003-0367-3

Download citation

Keywords

  • Ankylosing spondylitis
  • Bone scintigraphy
  • Cervical vertebrae
  • Juvenile