title: Rapidly progressive seronegative spondylarthropathy with atlantodental subluxation in a patient with moderately advanced HIV infection.
abstract: It has been suggested that the immunosuppressed state associated with HIV infection may influence the clinical course of rheumatic diseases. We describe the case of a patient with moderately advanced HIV infection who developed a psoriatic rash and a rapidly progressive spondylarthropathy of the cervical spine with atlantodental subluxation requiring spondylodesis. This case supports the hypothesis that HIV infection may be associated with uncommon manifestations and a rapidly progressive course refractory to medical therapy in patients with spondylarthropathy.
authors.affiliation: Medizinische Poliklinik, Klinikum Innenstadt, Universität München, Germany.
authors.forename: C K
authors.initials: CK
authors.lastname: Schewe
authors.forename: H
authors.initials: H
authors.lastname: Kellner
mesh_terms: D000328:Adult; D015535:Arthritis, Psoriatic / Q000150:complications* / Q000473:pathology; D001268:Atlanto-Axial Joint; D018450:Disease Progression; D015658:HIV Infections / Q000150:complications* / Q000276:immunology / Q000473:pathology; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology* / Q000473:pathology; D008297:Male; D013167:Spondylitis, Ankylosing / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology