A Case of Ankylosing Spondylitis with Cricoarytenoid Arthritis

Ju Kyeon Yim; Sung Dong Kwak; Jae Young Park; Jae Hong Cheon; Sung Yeol Choi; Choong Won Lee

doi:10.4078/jkra.2009.16.2.161

Journal List > J Korean Rheum Assoc > v.16(2) > 1003665

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Yim, Kwak, Park, Cheon, Choi, and Lee: A Case of Ankylosing Spondylitis with Cricoarytenoid Arthritis

Original Article

J Korean Rheum Assoc 2009;16(2):161-166.

Published online: 20 June 2009

DOI: https://doi.org/10.4078/jkra.2009.16.2.161

A Case of Ankylosing Spondylitis with Cricoarytenoid Arthritis

Ju Kyeon Yim, Sung Dong Kwak, Jae Young Park, Jae Hong Cheon, Sung Yeol Choi, Choong Won Lee

Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea

Received 18 March 2009 Revised 13 April 2009 Accepted 13 April 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The cricoarytenoid joint is a diathrodial synovial joint and it can be affected by various diseases. The etiology includes infectious, rheumatic and degenerative diseases. Cricoarytenoid arthritis that's caused rheumatoid arthritis is the most well known, yet cricoarytenoid arthritis that's caused by ankylosing spondylitis is very rare. Hoarseness, dysphagia, throat discomfort, dyspnea and dyspnea on exertion are the major symptoms. If there was no severe airway obstruction, this condition can be managed by systemic steroid or intraarticular steroid injection. We experienced a case of a 47 years old man with ankylosing spondylitis and he presented with hoarseness, dyspnea on exertion and dysphagia. He was finally diagnosed with cricoarytenoid arthritis and he improved after etanercept administration. So we report here on this case along with a review of relevant literature.

Keywords: Spondylitis, Ankylosing, Arthritis, Cricoarytenoid, Etanercept

References

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Fig. 1.

Lateral neck X-ray showed downward displacement of the epiglottis (circle).

Fig. 2.

(A) Normal position pelvis X-ray showed bilateral sacroiliitis (grade 2). (B) Multiple post-contrast enhancements along the endplate of the vertebral bodies are shown on TL-spine MRI.

Fig. 3.

There was increased uptake at the anterior neck (arrow), C and T-spines, sternum, and both SI joints on bone spect scan.

Fig. 4.

Epiglottis and larynx were swollen and erythematous. Movement of the vocal cords was decreased.

Fig. 5.

The clinical parameters and therapeutic modalities are summarized.

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