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ReplyCorrespondence

Dr. Takizawa, et al reply

NAOHO TAKIZAWA, ATSUSHI NOMURA and YOSHIRO FUJITA
The Journal of Rheumatology June 2016, 43 (6) 1252; DOI: https://doi.org/10.3899/jrheum.160375
NAOHO TAKIZAWA
Department of Rheumatology, Chubu Rosai Hospital;
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  • For correspondence: ttkkzzww5959@gmail.com
ATSUSHI NOMURA
Department of Rheumatology, Chubu Rosai Hospital;
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YOSHIRO FUJITA
Department of Rheumatology, Chubu Rosai Hospital, Nagoya, Japan.
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To the Editor:

We appreciate Dr. Rothschild’s comments1 on our paper2. Regarding the diagnosis of rheumatoid arthritis (RA) of this patient, she met the 6 points of the 2010 American College of Rheumatology/European League Against Rheumatism classification criteria for RA (6 points and over are classified as definite RA, and she had joint involvement > 10 and abnormal acute-phase reactants)3. She did not have inflammatory back pain, which is characteristic of spondyloarthritis.

The computed tomography scan and the magnetic resonance imaging demonstrated calcification of the left alar ligament, and showed neither evidence of ossification of the posterior longitudinal ligament nor other abnormalities.

Dr. Rothschild’s comments that more than 20% of Teleoceras had spondyloarthritis (SpA), and that the alar ligament calcification may be caused by SpA and traumatic injuries4, are of great interest. The patient had no history of traumatic injury and therefore we could not obtain this information.

REFERENCES

  1. 1.↵
    1. Rothschild BM
    . Alar and transverse ligament calcification and crown dens. J Rheumatol 2016;43:1251–2.
    OpenUrlFREE Full Text
  2. 2.↵
    1. Takizawa N,
    2. Nomura A,
    3. Fujita Y
    . Rare cause of nuchal pain: calcification of the alar ligament. J Rheumatol 2016;43:177–8.
    OpenUrlFREE Full Text
  3. 3.↵
    1. Aletaha D,
    2. Neogi T,
    3. Silman AJ,
    4. Funovits J,
    5. Felson DT,
    6. Bingham CO 3rd,
    7. et al.
    2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis 2010;69:1580–8.
    OpenUrlAbstract/FREE Full Text
  4. 4.↵
    1. Rothschild BM,
    2. Prothero DR,
    3. Rothschild C
    . Origins of spondyloarthropathy in Perissodactyla. Clin Exp Rheum 2001;19:628–32.
    OpenUrlPubMed
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The Journal of Rheumatology
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1 Jun 2016
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Dr. Takizawa, et al reply
NAOHO TAKIZAWA, ATSUSHI NOMURA, YOSHIRO FUJITA
The Journal of Rheumatology Jun 2016, 43 (6) 1252; DOI: 10.3899/jrheum.160375

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Dr. Takizawa, et al reply
NAOHO TAKIZAWA, ATSUSHI NOMURA, YOSHIRO FUJITA
The Journal of Rheumatology Jun 2016, 43 (6) 1252; DOI: 10.3899/jrheum.160375
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