Early Atlantoaxial Inflammatory Involvement Detected by 18F-FDG PET/CT in Newly Diagnosed Seropositive Rheumatoid Arthritis: A Rare but Critical Presentation
Sibel Ösken · Aktuelle Rheumatologie · 2026 · Heft 05 · S. 292-295
Bibliografische Angaben
Zusammenfassung
Abstract Background Atlantoaxial involvement is a well-recognized but typically late complication of rheumatoid arthritis (RA). Early cervical spine inflammation at disease onset is uncommon and may pose diagnostic and therapeutic challenges. Case Presentation A 74-year-old man presented with inflammatory polyarthritis and was diagnosed with seropositive RA based on elevated anti–cyclic citrullinated peptide antibodies (>500 U/mL) and compatible clinical findings. Initial treatment with prednisolone and leflunomide resulted in clinical improvement. Two months later, he developed severe neck pain with marked rest…