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February 1972

Atlantoaxial Subluxation in Psoriatic Arthropathy

Author Affiliations

USA; USA, Fort Sam Houston, Tex

From the departments of medicine (Dr. Giuliano) and orthopedics (Dr. Scully), Brooke General Hospital, Fort Sam Houston, Tex.

Arch Dermatol. 1972;105(2):247-248. doi:10.1001/archderm.1972.01620050057012

A patient with psoriatic arthropathy developed atlantoaxial subluxation and neurologic symptoms. This potentially serious complication has not been well documented in this disease. Signs and symptoms can include neck pain, back pain which may radiate into the legs, syncope, and neurologic deficit. The diagnosis is confirmed by the demonstration of a distance greater than 3 mm between the atlas and odontoid process on flexion roentgenograms of the neck.