Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis
Open Access
- 22 April 2022
- journal article
- editorial
- Published by Wolters Kluwer Health in Clinical Nuclear Medicine
- Vol. 47 (7) , 661-663
Abstract
An 80-year-old man was treated with rituximab for active rheumatoid arthritis until 2019, now controlled with Salazopyrin, prednisolone, methotrexate, and folic acid. However, laboratory data showed elevated C-reactive protein and erythrocyte sedimentation rate. Whole-body bone scan showed bony and joint destruction to the upper cervical vertebra (C spine), bilateral shoulders, wrists, finger joints, ankles, and left knee. SPECT/CT localized the upper C spine uptake to the C1/C2 joint and adjacent C1 and C2 with C1/C2 subluxation. C spine CT showed vertical atlantoaxial subluxation and bony erosions.Keywords
This publication has 17 references indexed in Scilit:
- Cervical spine involvement in rheumatoid arthritis over time: results from a meta-analysisArthritis Research & Therapy, 2015
- Radiological evaluation of cervical spine involvement in rheumatoid arthritisNeurosurgical Focus, 2015
- Rheumatoid Arthritis and the Cervical Spine: A Review on the Role of SurgeryInternational Journal of Rheumatology, 2015
- Cervical spine involvement in rheumatoid arthritis — A systematic reviewAutoimmunity Reviews, 2014
- Rheumatoid arthritis of the cervical spine--clinical considerations.2011
- Rheumatoid Arthritis of the Craniovertebral JunctionNeurosurgery, 2010
- Single-photon emission computed tomography combined with computed tomography (SPECT/CT) in bone diseasesJoint Bone Spine, 2009
- Rheumatoid arthritis of the cervical spineThe Spine Journal, 2004
- Rheumatoid involvement of the cervical spine. Radiological assessment.Annals of the Rheumatic Diseases, 1971
- THERAPEUTIC CRITERIA IN RHEUMATOID ARTHRITISJAMA, 1949