Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Acute Retropharyngeal Calcific Tendinitis in an Unusual Location: a Case Report in a Patient with Rheumatoid Arthritis and Atlantoaxial Subluxation

  • Lee, Seung-Hun (Department of Radiology, Hanyang University Hospital) ;
  • Joo, Kyung-Bin (Department of Radiology, Hanyang University Hospital) ;
  • Lee, Kyu-Hoon (Department of Physical Medicine and Rehabilitation, Hanyang University Hospital) ;
  • Uhm, Wan-Sik (Department of Rheumatology, Hanyang University Hospital)
  • Published : 2011.08.01
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Abstract

Retropharyngeal calcific tendinitis is defined as inflammation of the longus colli muscle and is caused by the deposition of calcium hydroxyapatite crystals, which usually involves the superior oblique fibers of the longus colli muscle from C1-3. Diagnosis is usually made by detecting amorphous calcification and prevertebral soft tissue swelling on radiograph, CT or MRI. In this report, we introduce a case of this disease which was misdiagnosed as a retropharyngeal tuberculous abscess, or a muscle strain of the ongus colli muscle. No calcifications were visible along the vertical fibers of the longus colli muscle. The lesion was located anterior to the C4-5 disc, in a rheumatoid arthritis patient with atlantoaxial subluxation. Calcific tendinitis of the longus colli muscle at this location in a rheumatoid arthritis patient has not been reported in the English literature.

Keywords

References

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