Cervical involvement in juvenile-onset ankylosing spondylitis with bone scintigraphy

• Published in: Rheumatology international Vol. 24; no. 3; pp. 164 - 165
• Main Authors: KEKILLI, Ersoy, YAGMUR, Cengiz, OMER MURAT AYDIN
• Format: Journal Article
• Language: English
• Published: Berlin Springer 01.05.2004; Springer Nature B.V
• Subjects: Biological and medical sciences; Cervical Vertebrae - diagnostic imaging; Child; Diseases of the osteoarticular system; Gait; Humans; Inflammatory joint diseases; Medical sciences; Movement Disorders - complications; Movement Disorders - physiopathology; Radionuclide Imaging; Radiopharmaceuticals; Spine; Spondylitis, Ankylosing - complications; Spondylitis, Ankylosing - diagnostic imaging; Spondylitis, Ankylosing - physiopathology; Sports injuries; Technetium Tc 99m Medronate; Radionuclide study; Juvenile; Diseases of the osteoarticular system; Rheumatology; Inflammatory joint disease; Scintigraphy; Cervical vertebrae; Spondylarthropathy; Chronic; Bone scintigraphy; Medical imagery; Bone; Ankylosing spondylitis
• ISSN: 0172-8172; 1437-160X
• DOI: 10.1007/s00296-003-0367-3

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.