Rheumatoid vasculitis – Case report

Pecly, Inah Maria Drummond; Ocampo, Juan Felipe; Ramirez, Guillermo Pandales; Oliveira, Hedi de Melo Guedes de Marinho; Saud, Claudia Guerra Murad; Arantes, Milton dos Reis

doi:10.1016/j.rbre.2014.07.006

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2024

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“…Laboratory tests, including high titers of RF and anti-CCP antibodies, are only supportive of a diagnosis of RV and not confirmatory. Although it is a rare manifestation of the disease, early diagnosis and optimum management are of paramount importance as they can curtail untoward complications and improve the overall prognosis of the patient [12]. Due to a lack of data from randomized controlled trials, the management of RV is largely empirical.…”

Section: Discussionmentioning

confidence: 99%

Vasculitis, an Early Unusual Presentation of Rheumatoid Arthritis: A Case Report

Kashyap,

Pokhrel,

Bhatta

et al. 2024

Cureus

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Rheumatoid arthritis (RA) is a chronic inflammatory disease, with rheumatoid vasculitis (RV) being its most threatening complication. We report a case of a 70-year-old female presenting with gangrene of the tips of fingers and toes early in the course of RA, which is a rare manifestation. The skin is the most commonly affected organ in RV, followed by the peripheral nerves. However, almost every organ system can get implicated. The management of RV is mostly empirical, with high-dose glucocorticoids and cyclophosphamide. Early diagnosis and optimum management are essential in preventing severe complications of the disease.

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Section: Discussionmentioning

confidence: 99%