Journal of Rheumatology 1998-Jan
Torticollis as the sole initial presenting sign of systemic onset juvenile rheumatoid arthritis.
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We describe a 6-year-old girl with acute torticollis as the initial manifestation of systemic onset juvenile rheumatoid arthritis (JRA). She presented with isolated torticollis for 2 weeks, followed by daily intermittent fever and polyarthritis. We discuss the pathogenesis of cervical spine involvement in JRA and the clues to early diagnosis.