The Effect of Teriparatide for the Treatment of Multiple Spontaneous Clinical Vertebral Fractures after Discontinuation of Denosumab in a Female Patient with Rheumatoid Arthritis: A Case Report

AbstractOsteoporotic vertebral fractures are well-known complications of rheumatoid arthritis. The management of multiple vertebral fractures with kyphotic deformity is controversial. We present a case of a patient with mutilating rheumatoid arthritis who had multiple vertebral fractures with kyphotic deformity after occipitothoracic fusion for rheumatoid cervical disorder. Occipitosacral fusion was effective to create stable spine with better sagittal alignment in this case, but careful clinical assessment for early detection and management of postoperative insufficient pelvic fracture were required.

Download Full-text

Becker’s Nevus in a 24-Year-Old Female Patient with Rheumatoid Arthritis: A Case Report of a Laser Therapy Without Recurrence

Journal of Skin and Stem Cell ◽

10.5812/jssc.102387 ◽

2020 ◽

Vol 6 (3) ◽

Author(s):

Hossein Hafezi ◽

Ali Asilian ◽

Maryam Bemanalizadeh ◽

Vahid Mansouri ◽

Akramsadat Amiri ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Case Report ◽

Laser Therapy ◽

Female Patient ◽

Becker’S Nevus

Download Full-text

Rheumatoid arthritis developed during subcutaneous pollen allergen immunotherapy; a case report

10.26226/morressier.5acc8ad2d462b8028d89b114 ◽

2018 ◽

Author(s):

dilek eraslan

Keyword(s):

Rheumatoid Arthritis ◽

Case Report ◽

Allergen Immunotherapy ◽

Pollen Allergen

Download Full-text

Odontoid cervical gout causing atlantoaxial instability: case report

Journal of Neurosurgery Spine ◽

10.3171/2018.9.spine18122 ◽

2019 ◽

Vol 30 (4) ◽

pp. 541-544

Author(s):

Justin Slavin ◽

Marcello DiStasio ◽

Paul F. Dellaripa ◽

Michael Groff

Keyword(s):

Rheumatoid Arthritis ◽

Spinal Cord ◽

Case Report ◽

Physical Examination ◽

Odontoid Process ◽

Signs And Symptoms ◽

Cord Compression ◽

Atlantoaxial Instability ◽

Posterior Stabilization ◽

Rotatory Subluxation

The authors present a case report of a patient discovered to have a rotatory subluxation of the C1–2 joint and a large retroodontoid pannus with an enhancing lesion in the odontoid process eventually proving to be caused by gout. This patient represented a diagnostic conundrum as she had known prior diagnoses of not only gout but also sarcoidosis and possible rheumatoid arthritis, and was in the demographic range where concern for an oncological process cannot fully be ruled out. Because she presented with signs and symptoms of atlantoaxial instability, she required posterior stabilization to reduce the rotatory subluxation and to stabilize the C1–2 instability. However, despite the presence of a large retroodontoid pannus, she had no evidence of spinal cord compression on physical examination or imaging and did not require an anterior procedure to decompress the pannus. To confirm the diagnosis but avoid additional procedures and morbidity, the authors proceeded with the fusion as well as a posterior biopsy to the retroodontoid pannus and confirmed a diagnosis of gout.

Download Full-text

Healing Of A Large Osteolytic Mandibular Lesion – A Case Report

Global Dentistry ◽

10.36879/gsl.dcr.2018.00008 ◽

2018 ◽

Author(s):

Ingrid Różyło-Kalinowskav ◽

Karolina Sidor

Keyword(s):

Case Report ◽

Female Patient ◽

Surgical Approach ◽

Orthodontic Treatment ◽

Incidental Finding ◽

Osteolytic Lesion ◽

Panoramic Radiograph ◽

Endodontic Treatment ◽

Osteolytic Lesions

The purpose of this article was to present a case report of 11–year old female patient with a large osteolytic mandibular lesion which healed after endodontic treatment. The patient was referred for radio diagnostics due to an incidental finding of a large osteolytic lesion of the area of the left lower first and second premolars in the panoramic radiograph taken before orthodontic treatment. CBCT was performed and the patient asked to have teeth 33-35 treated by endodontics before surgery. The patient missed the surgical appointment and when she reappeared several months later, the lesion showed signs of healing thus surgery were aborted. The presented case testifies to the observation that even large osteolytic lesions can heal after endodontic treatment without surgical approach.

Download Full-text

Palisaded neutrophilic and granulomatous dermatitis following a long-standing monoclonal gammopathy: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x20979560 ◽

2021 ◽

Vol 9 ◽

pp. 2050313X2097956

Author(s):

Dorsa Zabihi-pour ◽

Bahar Bahrani ◽

Dalal Assaad ◽

Jensen Yeung

Keyword(s):

Rheumatoid Arthritis ◽

Case Report ◽

Connective Tissue ◽

Monoclonal Gammopathy ◽

Inflammatory Dermatosis ◽

Case Summary ◽

Underlying Causes ◽

Granulomatous Dermatitis ◽

Skin Biopsies ◽

Underlying Diseases

Background: Palisaded neutrophilic granulomatous dermatitis is a rare inflammatory dermatosis with possible underlying systemic conditions including rheumatoid arthritis, autoimmune connective tissue disease, and malignancies. Case Summary: We report a case of an 84-year-old man presenting with a 3-week eruption of asymptomatic annular plaques on his neck, which progressed to involve his back and legs. Skin biopsies confirmed a diagnosis of palisaded neutrophilic granulomatous dermatitis, and he was treated with prednisone. Full workup related to potential underlying causes of palisaded neutrophilic granulomatous dermatitis was completed. Conclusion: Palisaded neutrophilic granulomatous dermatitis may precede the onset of underlying systemic conditions or occur concomitantly. Following the diagnosis, clinicians should perform a comprehensive focused history, physical examination, and laboratory investigation related to the associated underlying diseases.

Download Full-text