1.Rheumatoid arthritis associated with myelodysplastic syndrome: a case report.
Eon Jeong NAM ; Young Mo KANG ; Hye Ryun KANG ; Jae Han KIM ; Hyun Joo RHO ; Myoung Kwon LEE ; Sang Hoon HYUN ; Gun Woo KIM ; Jong Myoung LEE ; Nung Soo KIM
Journal of Korean Medical Science 1999;14(3):319-322
Myelodysplastic syndromes (MDS) are a group of refractory anemias resulting from a clonal stem cell disorder often associated with cytogenetic abnormalities. There is increasing recognition of immunological abnormalities in patients with MDS, including defective B- and T-cell function, hyper- or hypogammaglobulinemia and monoclonal gammopathy. MDS have been associated with Sjogren's syndrome, polymyalgia rheumatica, relapsing polychondritis and systemic lupus erythematosus. Although there may be various rheumatologic features, including acute arthritis in MDS, chronic inflammatory arthritis is uncommonly combined. There have been a few reports that described cases of rheumatoid arthritis (RA) concurrent with MDS, but advanced rheumatoid arthritis with typical joint deformities has rarely been reported. We report a case of rheumatoid arthritis with atlantoaxial subluxation combined with refractory anemia in a 31-year-old woman.
Adult
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Arthritis, Rheumatoid/radiography
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Arthritis, Rheumatoid/pathology
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Arthritis, Rheumatoid/complications*
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Arthritis, Rheumatoid/blood
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Case Report
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Female
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Follow-Up Studies
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Human
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Myelodysplastic Syndromes/pathology
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Myelodysplastic Syndromes/complications*
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Myelodysplastic Syndromes/blood
2.Multiple Vertebral Involvement of Rheumatoid Arthritis in Thoracolumbar Spine: A Case Report.
Sun Ho LEE ; Young Mo KANG ; Yeun Mook PARK
Journal of Korean Medical Science 2010;25(3):472-475
Although little attention has been paid to the less common rheumatoid involvement of the thoracic and lumbar regions, some studies have shown that rheumatoid synovitis with erosive changes can develop in these diarthrodial joints. We report a patient with seropositive rheumatoid arthritis (RA) involving the thoracic and lumbar vertebra with a collapse of the T12 vertebra, who was treated with percutaneous vertebroplasty. In this case of a painful pathological fracture due to RA, percutaneous vertebroplasty was found to be helpful in eliminating the pain. The paper presents the histological evidence, the pathogenesis and treatment of the thoracolumbar lesions affected by RA with a review of the relevant literature.
Arthritis, Rheumatoid/blood/complications/*pathology/radiography
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Female
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Fractures, Compression/etiology/radiography/surgery
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Humans
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Lumbar Vertebrae/*pathology/radiography
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Middle Aged
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Thoracic Vertebrae/*pathology/radiography
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Vertebroplasty