Arteriographic appearances in rheumatoid arthritis and other disorders

Changes in the metaphysis and diaphysis of the femur proximal to the knee in rabbits with experimentally induced inflammatory arthritis

“…in the thickened synovium on gross examination, but Inflammatory arthritis is known to be associno gross evidence of increased vascularity or blood ated with increased periarticular vascularity (8, [23][24][25] flow in the diaphyseal bone. Thus, there is little and with increased periarticular blood flow (23).…”

The Raynaud syndrome

“…The vascular lesions of rheumatoid arthritis have been documented by Bywaters & Scott (1963). They present clinically as skin nodules and Raynaud's phenomenon and can be demonstrated by brachial arteriography (Laws, Lillie & Scott, 1963). There is a close correlation with a positive differential agglutinating titre (DAT) and with the finding of skin nodules.…”

“…The digital thrombosis, seen in both systemic scleroderma and rheumatoid arthritis, has no specific arteriographic features, although the blocks are often sited in relation to the peri-articular swellings. Occlusions also occur in patients with nodose polyarteritis, said to be accompanied by an irregular network of abnormal collaterals in the hand (Laws et al, 1963).…”

Rheumatoid arthritis: extra-articular manifestations.

“…A vasculitis presents not only as small visible lesions in the skin BRITISH MEDICAL JOURNAL but in a variety of visceral aches and pains scattered through all systems of the body. Gangrene of the fingers or toes may occur; indeed, after seeing the brachial arteriographs of Scott et al (1961) and of Laws et al (1963) and Laws (1965) one wonders why gangrenous fingers are not the rule rather than the exception in rheumatoid arthritis. Happily, as Bywaters (1957) and Bywaters and Scott (1963) have shown, this digital vasculitis is relatively benign, and most patients run their anticipated clinical course free from major ischaemic features.…”