Isolated atlantoaxial subluxation as the presenting manifestation of inflammatory bowel disease.
A previously healthy 21-year-old black woman is described in whom erosive cervical spine disease with C1-C2 subluxation spontaneously developed. Various investigations led to the discovery of Crohn's disease, a heretofore unreported association. Thus, clinically silent or undiagnosed inflammatory bowel disease should be considered in the cause of atlantoaxial subluxation.
D000328:Adult; D001268:Atlanto-Axial Joint; D003424:Crohn Disease / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D004204:Joint Dislocations / Q000150:complications* / Q000628:therapy; D011859:Radiography; D013585:Synovitis / Q000175:diagnosis / Q000628:therapy; D014143:Traction