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

被引：1

作者：

Kashyap, Ashutosh ^{[1
]}

Pokhrel, Biraj ^{[1
]}

Bhatta, Aaraju ^{[2
]}

Aryal, Savita ^{[3
]}

Khanal, Shambhu ^{[4
]}

机构：

[1] Tribhuvan Univ, Inst Med, Dept Internal Med, Kathmandu, Nepal

[2] Patan Acad Hlth Sci, Dept Internal Med, Kathmandu, Nepal

[3] Lumbini Prov Hosp, Dept Emergency Med, Kathmandu, Nepal

[4] Lumbini Prov Hosp, Dept Internal Med, Kathmandu, Nepal

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 01期

关键词：

vasculitis; rheumatoid vasculitis; rheumatoid arthritis; gangrene; corticosteroids;

D O I：

10.7759/cureus.52845

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：4

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