A Case of a Non-Radiographic Axial Spondyloarthritis in a 14-Year-Old Girl Presenting with Muscle Weakness and Hyperthyroidism

A Case of a Non-Radiographic Axial Spondyloarthritis in a 14-Year-Old Girl Presenting with Muscle Weakness and Hyperthyroidism

Juvenile spondyloarthritis (SpA) affects patients below the age of 16 and mainly presents with peripheral involvement. Many atypical clinical presentations were reported in the adult SpA, but not in the juvenile group. We report a case of non-radiographic axial SpA in a 14-year-old girl presented at...

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Veröffentlicht in:International medical case reports journal 2020-02, Vol.13, p.47-52
Hauptverfasser: Elhosiny, Abdullah, Alshoubaki, Renad, Sindi, Lama, Bukhari, Sadeem, Almoallim, Hani
Format: Artikel
Sprache:eng
Schlagworte:
Adalimumab
ankylosing spondylitis
Back pain
Backache
Case Report
Case reports
Disease
Dysphagia
Gastroesophageal reflux
Hyperthyroidism
Hypothyroidism
Immunoglobulins
juvenile spondyloarthritis
Monoclonal antibodies
Muscle weakness
non-radiographic spondyloarthritis
Patients
Rheumatology
spondyloarthritis
Teenage girls
Thyroid gland
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Zusammenfassung:Juvenile spondyloarthritis (SpA) affects patients below the age of 16 and mainly presents with peripheral involvement. Many atypical clinical presentations were reported in the adult SpA, but not in the juvenile group. We report a case of non-radiographic axial SpA in a 14-year-old girl presented atypically with muscle weakness and hyperthyroidism. She had sacroiliitis evident by magnetic resonance imaging (MRI) with negative HLA-B27. Muscle biopsy showed fasciitis. She responded well to adalimumab and thyroid functions returned to normal values.
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S233427