Torticollis as the sole initial presenting sign of systemic onset juvenile rheumatoid arthritis.

@article{Uziel1998TorticollisAT,
  title={Torticollis as the sole initial presenting sign of systemic onset juvenile rheumatoid arthritis.},
  author={Yosef Uziel and Valeria Rathaus and Avishalom Pomeranz and Harold A. Solan and Baruch Wolach},
  journal={The Journal of rheumatology},
  year={1998},
  volume={25 1},
  pages={166-8}
}
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.