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spelling todo:paper_0315162X_v17_n2_p173_Babini2023-10-03T15:23:09Z Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations Babini, S.M. Maldonado Cocco, J.A. Babini, J.C. De la Sota, M. Arturi, A. Marcos, J.C. Atlantoaxial subluxation Jaccoud's syndrome Joint hypermobility Secondary hyperparathyroidism Systemic lupus erythematosus Tendon laxity adult article atlantoaxial subluxation female human hyperparathyroidism jaccoud disease joint hypermobility major clinical study male methodology priority journal radiography spine radiography systemic lupus erythematosus tendon Adult Arthritis, Rheumatoid Atlanto-Axial Joint Creatinine Dislocations Female Human Joint Instability Kidney Failure, Chronic Knee Joint Lupus Erythematosus, Systemic Male Parathyroid Hormones Prospective Studies Syndrome Tendons Time Factors We prospectively determined the frequency of atlantoaxial subluxation in a group of patients with systemic lupus erythematosus (SLE) and analyzed its relationship with tendinous laxity, Jaccoud's syndrome and other features of the disease. Five of 59 patients (8.5%) had atlantoaxial subluxation. No patient presented atlantoaxial subluxation in neutral lateral cervical radiographs but all 5 had anterior atlantoaxial subluxation in full flexion films; one patient also had lateral subluxation. The 5 patients with atlantoaxial subluxation were compared with the remaining 54. Mean SLE disease duration was longer in patients with atlantoaxial subluxation (12 years) than in those without (6.6 years) (p < 0.01). Jaccoud's syndrome, patellar tendon elongation and articular hypermobility were significantly more frequent in patients with atlantoaxial subluxation. The presence or history of arthritis failed to distinguish patients with and without atlantoaxial subluxation, while chronic renal failure and increased serum parathyroid hormone levels were significantly associated to the presence of atlantoaxial subluxation. We suggest that atlantoaxial subluxation is further evidence of tendinous alterations seen in patients with SLE. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_0315162X_v17_n2_p173_Babini
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic Atlantoaxial subluxation
Jaccoud's syndrome
Joint hypermobility
Secondary hyperparathyroidism
Systemic lupus erythematosus
Tendon laxity
adult
article
atlantoaxial subluxation
female
human
hyperparathyroidism
jaccoud disease
joint hypermobility
major clinical study
male
methodology
priority journal
radiography
spine radiography
systemic lupus erythematosus
tendon
Adult
Arthritis, Rheumatoid
Atlanto-Axial Joint
Creatinine
Dislocations
Female
Human
Joint Instability
Kidney Failure, Chronic
Knee Joint
Lupus Erythematosus, Systemic
Male
Parathyroid Hormones
Prospective Studies
Syndrome
Tendons
Time Factors
spellingShingle Atlantoaxial subluxation
Jaccoud's syndrome
Joint hypermobility
Secondary hyperparathyroidism
Systemic lupus erythematosus
Tendon laxity
adult
article
atlantoaxial subluxation
female
human
hyperparathyroidism
jaccoud disease
joint hypermobility
major clinical study
male
methodology
priority journal
radiography
spine radiography
systemic lupus erythematosus
tendon
Adult
Arthritis, Rheumatoid
Atlanto-Axial Joint
Creatinine
Dislocations
Female
Human
Joint Instability
Kidney Failure, Chronic
Knee Joint
Lupus Erythematosus, Systemic
Male
Parathyroid Hormones
Prospective Studies
Syndrome
Tendons
Time Factors
Babini, S.M.
Maldonado Cocco, J.A.
Babini, J.C.
De la Sota, M.
Arturi, A.
Marcos, J.C.
Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations
topic_facet Atlantoaxial subluxation
Jaccoud's syndrome
Joint hypermobility
Secondary hyperparathyroidism
Systemic lupus erythematosus
Tendon laxity
adult
article
atlantoaxial subluxation
female
human
hyperparathyroidism
jaccoud disease
joint hypermobility
major clinical study
male
methodology
priority journal
radiography
spine radiography
systemic lupus erythematosus
tendon
Adult
Arthritis, Rheumatoid
Atlanto-Axial Joint
Creatinine
Dislocations
Female
Human
Joint Instability
Kidney Failure, Chronic
Knee Joint
Lupus Erythematosus, Systemic
Male
Parathyroid Hormones
Prospective Studies
Syndrome
Tendons
Time Factors
description We prospectively determined the frequency of atlantoaxial subluxation in a group of patients with systemic lupus erythematosus (SLE) and analyzed its relationship with tendinous laxity, Jaccoud's syndrome and other features of the disease. Five of 59 patients (8.5%) had atlantoaxial subluxation. No patient presented atlantoaxial subluxation in neutral lateral cervical radiographs but all 5 had anterior atlantoaxial subluxation in full flexion films; one patient also had lateral subluxation. The 5 patients with atlantoaxial subluxation were compared with the remaining 54. Mean SLE disease duration was longer in patients with atlantoaxial subluxation (12 years) than in those without (6.6 years) (p < 0.01). Jaccoud's syndrome, patellar tendon elongation and articular hypermobility were significantly more frequent in patients with atlantoaxial subluxation. The presence or history of arthritis failed to distinguish patients with and without atlantoaxial subluxation, while chronic renal failure and increased serum parathyroid hormone levels were significantly associated to the presence of atlantoaxial subluxation. We suggest that atlantoaxial subluxation is further evidence of tendinous alterations seen in patients with SLE.
format JOUR
author Babini, S.M.
Maldonado Cocco, J.A.
Babini, J.C.
De la Sota, M.
Arturi, A.
Marcos, J.C.
author_facet Babini, S.M.
Maldonado Cocco, J.A.
Babini, J.C.
De la Sota, M.
Arturi, A.
Marcos, J.C.
author_sort Babini, S.M.
title Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations
title_short Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations
title_full Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations
title_fullStr Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations
title_full_unstemmed Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations
title_sort atlantoaxial subluxation in systemic lupus erythematosus: further evidence of tendinous alterations
url http://hdl.handle.net/20.500.12110/paper_0315162X_v17_n2_p173_Babini
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