Abstract
Cervical spine involvement in psoriatic arthritis is not uncommon and can often mimic symptoms and signs of ankylosing spondylitis. However, some specific features may help to differentiate between patients with psoriatic arthritis and ankylosing spondylitis. Here, we present a series of three patients with psoriatic arthritis and increasing cervical pain and loss of mobility. Each of the cases shows specific radiographic characteristics. These cases therefore illustrate different aspects of the involvement of the cervical spine in axial forms of psoriatic arthritis and highlight the importance of proper evaluation and management of axial disease in psoriatic arthritis.
MeSH terms
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Adult
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Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
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Arthritis, Psoriatic / complications
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Arthritis, Psoriatic / drug therapy
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Arthritis, Psoriatic / pathology*
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Cervical Vertebrae / pathology*
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Cervical Vertebrae / physiopathology
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Diagnosis, Differential
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Drug Therapy, Combination
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Female
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Humans
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Male
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Meloxicam
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Methotrexate / therapeutic use
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Middle Aged
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Neck Pain / etiology
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Neck Pain / physiopathology
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Neck Pain / therapy
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Orthopedic Fixation Devices
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Range of Motion, Articular
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Spondylarthritis / complications
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Spondylarthritis / pathology*
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Spondylarthritis / therapy
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Spondylitis, Ankylosing / diagnosis
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Thiazines / therapeutic use
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Thiazoles / therapeutic use
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Tramadol / therapeutic use
Substances
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Anti-Inflammatory Agents, Non-Steroidal
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Thiazines
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Thiazoles
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Tramadol
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Meloxicam
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Methotrexate