Rapidly progressive seronegative spondylarthropathy with atlantodental subluxation in a patient with moderately advanced HIV infection

Clin Exp Rheumatol. 1996 Jan-Feb;14(1):83-5.


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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arthritis, Psoriatic / complications*
  • Arthritis, Psoriatic / pathology
  • Atlanto-Axial Joint*
  • Disease Progression
  • HIV Infections / complications*
  • HIV Infections / immunology
  • HIV Infections / pathology
  • Humans
  • Joint Dislocations / etiology*
  • Joint Dislocations / pathology
  • Male
  • Spondylitis, Ankylosing / diagnosis
  • Spondylitis, Ankylosing / etiology*
  • Spondylitis, Ankylosing / pathology