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001-es BibID:	BIBFORM084306
Első szerző:	Oláh Csaba (idegsebész)
Cím:	Assessment of cervical spine involvement in rheumatoid arthritis patients in the era of biologics : a real-life, cross-sectional MRI study / Csaba Oláh, Kardos Zsófia, Kostyál László, Hodosi Katalin, Tamási László, Bereczki Dániel, Szekanecz Zoltán
Dátum:	2020
ISSN:	0172-8172 1437-160X
Megjegyzések:	Cervical spine involvement may lead to severe complications in rheumatoid arthritis (RA). In the era of modern therapies, atlantoaxial subluxation (AAS) may be rare; however, it may still be detected in asymptomatic patients. The onset of myelopathy can occur at any time. Altogether 49 female RA patients were included. Among them, 15 were methotrexate treated, biologic free, while 34 patients received biologics. The patients had no cervical pain or any neurological symptoms. We assessed the first (C1) and second (C2) cervical vertebrae by 3?T magnetic resonance imaging (MRI). In addition to AAS, we also determined odontoid erosion or periodontal soft tissue thickening. We associated our MRI findings with clinical, laboratory parameters, and hand radiography. We detected anterior AAS and soft tissue thickening in one-quarter, while odontoid erosions in eight (16%) of RA patients. There were no significant differences among the therapeutic subgroups. No posterior or vertical AAS was seen. Anterior AAS was associated with higher degree of inflammation, soft tissue thickening was seen at younger age, while odontoid erosions were associated with van der Heijde?Sharp scores of the hand. None of the patients had any lesions requiring surgery. The presence of cervical involvement in RA patients with 10?11?years of disease duration is still an important and frequent phenomenon. Higher disease activity and erosive disease are associated with atlantoaxial involvement. 3?T MRI is a sensitive method to assess AAS, as well as soft tissue lesions and odontoid erosions.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Rheumatoid arthritis Atlantoaxial subluxation Cervical spine involvement Odontoid erosion
Megjelenés:	Rheumatology International. - 40 : 6 (2020), p. 915-921. -
További szerzők:	Kardos Zsófia Kostyál László (1974-) (radiológus) Hódosi Katalin Tamási László Bereczki Dániel (1960-) (neurológus) Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus)
Pályázati támogatás:	TAMOP-4.2.4.A/2-11/1-2012-0001 TÁMOP GINOP-2.3.2-15-2016-00015 GINOP GINOP-2.3.2-15-2016-00050 GINOP
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