Presentation
Elevated levels of circulating immune complexes, hypocomplementemia, and high titer rheumatoid factor were present during active vasculitis. Clinical and serologic remissions were induced in all patients on cyclophosphamide. [annals.org]
In the present review, we discuss the involvement of cytokines and inflammatory molecules in the pathogenesis of RV and evaluate their significance as useful laboratory parameters of active vasculitis disease. [eurekaselect.com]
Rheumatoid Vasculitis. ( 27041172 ) Tago M...Yamashita S 2016 18 New onset of rheumatoid vasculitis during abatacept therapy and subsequent improvement after rituximab. ( 27052429 ) Carvajal Alegria G...Cornec D 2016 19 Rheumatoid vasculitis: early presentation [malacards.org]
Our patient presented with lower extremity purpura in the setting of rheumatoid arthritis and common variable immunodeficiency disease. A biopsy of cutaneous lesions confirmed the etiology of rheumatoid vasculitis. [semanticscholar.org]
We present two patients with diagnosis of rheumatoid arthritis with a chronic condition of ulcers and dysesthesias on legs associated with anemic syndrome; the histological study revealed medium size vasculitis. [scielo.sa.cr]
Entire Body System
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Gangrene
Abstract: Rheumatoid vasculitis (RV) is an uncommon but severe complication of rheumatoid arthritis (RA) that can cause skin disorders, such as rash, cutaneous ulcerations and gangrene, neuropathy, eye symptoms, and systemic inflammation. [eurekaselect.com]
[…] navigation Jump to search Rheumatoid vasculitis Specialty Rheumatology Rheumatoid vasculitis is skin condition that is a typical feature of rheumatoid arthritis, presenting as peripheral vascular lesions that are localized purpura, cutaneous ulceration, and gangrene [en.wikipedia.org]
[…] ulcerative keratitis as the presenting feature of systemic rheumatoid vasculitis without joint involvement. ( 24234515 ) Morgan-Warren PJ...Smith G 2014 31 Rheumatoid arthritis: Rheumatoid vasculitis--down but not out. ( 24595091 ) Watts RA 2014 32 Severe gangrene [malacards.org]
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Constitutional Symptom
The diagnosis of RV should be considered in any rheumatoid arthritis patient who develops new constitutional symptoms, skin ulcerations, decreased blood flow to the fingers or toes, symptoms of a sensory or motor nerve dysfunction (numbness, tingling, [hopkinsvasculitis.org]
Clinical Approach to Suspected Rheumatoid Vasculitis Discovering skin or nervous system abnormalities in a patient with extra-articular manifestations of RA and constitutional symptoms (eg, weight loss or fever) should raise a high index of suspicion [ncbi.nlm.nih.gov]
Skin
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Skin Ulcer
ulcer with a TNF-α antagonist. ( 23557520 ) Ashida A...Okuyama R 2014 29 Systemic rheumatoid vasculitis in the era of modern immunosuppressive therapy. ( 24108586 ) Ntatsaki E...Watts RA 2014 30 Peripheral ulcerative keratitis as the presenting feature [malacards.org]
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Cutaneous Manifestation
manifestations of rheumatoid vasculitis in Brazilian patients. ( 22641591 ) Nishimura WE...Bertolo MB 2012 37 Cerebral rheumatoid vasculitis: a case report. ( 22974191 ) Akrout R...Baklouti S 2012 38 Foot ulcers caused by rheumatoid vasculitis in a patient [malacards.org]
manifestations of rheumatoid vasculitis include palpable purpura, nodules, ulcers ( Fig. 1 ), and digital necrosis [ 23 ]. [ncbi.nlm.nih.gov]
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Excoriation
Primary lesions flat Macule Patch elevated Papule Nodule Plaque fluid Vesicle Bulla Pustule Ulcer Erosion Telangiectasia Special initial lesions : Burrow Tunnel Comedo Scutulum Target lesion Herald patch Wheal Secondary lesions Scale Crust Lichenification Excoriation [en.wikipedia.org]
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Papule
External links [ edit ] Classification D ICD - 10 : M05.2 MeSH : D056653 v t e Clinical and histological nomenclature for skin lesions Macroscopic Primary lesions flat Macule Patch elevated Papule Nodule Plaque fluid Vesicle Bulla Pustule Ulcer Erosion [en.wikipedia.org]
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Hyperkeratosis
Plaque fluid Vesicle Bulla Pustule Ulcer Erosion Telangiectasia Special initial lesions : Burrow Tunnel Comedo Scutulum Target lesion Herald patch Wheal Secondary lesions Scale Crust Lichenification Excoriation Induration Atrophy Microscopic keratin : Hyperkeratosis [en.wikipedia.org]
Musculoskeletal
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Osteophyte
Crystal arthropathy : Gout Chondrocalcinosis Noninflammatory Osteoarthritis : Heberden's node Bouchard's nodes Other Bleeding pain Osteophyte villonodular synovitis Pigmented villonodular synovitis stiffness This cutaneous condition article is a stub. [en.wikipedia.org]
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Heberden Node
Crystal arthropathy : Gout Chondrocalcinosis Noninflammatory Osteoarthritis : Heberden's node Bouchard's nodes Other Bleeding pain Osteophyte villonodular synovitis Pigmented villonodular synovitis stiffness This cutaneous condition article is a stub. [en.wikipedia.org]
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Joint Deformity
However, more often than not, the typical patient has long-standing rheumatoid arthritis with severe joint deformities from the underlying arthritis. [hopkinsvasculitis.org]
Psychiatrical
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Suggestibility
[…] imbalance in the expression of chemokines and proinflammatory cytokines is important for orchestrating inflammatory responses in RA patients, and similar dysregulation of cytokines and other inflammatory molecules, such as adhesion molecules, has been suggested [eurekaselect.com]
Again, one report suggested a possible causal link between rituximab and RA vasculitis [ 43 ]. [ncbi.nlm.nih.gov]
Neurologic
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Foot Drop
drop with rituximab. ( 16936329 ) Maher LV...Wilson JG 2006 [malacards.org]
The images below show a patient with a right wrist drop and a patient with right foot drop. This condition, which may be significantly disabling, is often preceded by a change in sensation in the same area (numbness, tingling, burning, or pain). [hopkinsvasculitis.org]
Successful treatment of rheumatoid vasculitis-associated foot drop with rituximab. Rheumatology (Oxford) 2006; 45 :1450–1451. [ PubMed ] [ Google Scholar ] 43. Kim MJ, Kim HO, Kim HY, Park YM. [ncbi.nlm.nih.gov]
Treatment
Treatment The aggressiveness of treatment for rheumatoid vasculitis is typically determined by the degree of organ system involvement. [ncbi.nlm.nih.gov]
Treatment and Course of Rheumatoid Vasculitis Therapy should reflect the severity of organ involvement. Prednisone or other steroid therapies are often the first line of treatment. [hopkinsvasculitis.org]
There is ongoing debate about the role of newer biological therapies in prevention, treatment or even as a trigger for rheumatoid vasculitis. [journals.lww.com]
A cutaneous vasculitis subsequently responded to immunosuppressive therapy, but the lung disease was refractory to treatment. [erj.ersjournals.com]
Prognosis
Skin involvement without other organ system involvement carries a more favorable prognosis. Rheumatoid vasculitis leg ulcers in a 58-year-old seropositive, poorly controlled rheumatoid arthritis patient. [ncbi.nlm.nih.gov]
Etiology
A biopsy of cutaneous lesions confirmed the etiology of rheumatoid vasculitis. Although rituximab is the recommended treatment, it has the potential to exacerbate… CONTINUE READING [semanticscholar.org]
Epidemiology
This review provides an update on the epidemiology, clinical correlates, predictors, therapy and outcomes of rheumatoid vasculitis over the past decade. [journals.lww.com]
Prevalence and Epidemiology The prevalence of rheumatoid vasculitis has been reported to be declining, although individual patient characteristics may affect risk [ 2••, 3, 9 ]. [ncbi.nlm.nih.gov]
Pathophysiology
Herein we examine the pathophysiology, epidemiology, clinical diagnosis, and treatment of rheumatoid vasculitis. Seropositivity, specific HLA variations, and tobacco use are among the genetic and environmental predictors of rheumatoid vasculitis. [ncbi.nlm.nih.gov]
Prevention
There is ongoing debate about the role of newer biological therapies in prevention, treatment or even as a trigger for rheumatoid vasculitis. [journals.lww.com]
Contemporary treatment reports are discussed in the context of the ongoing debate regarding whether new agents may trigger, treat, or even prevent rheumatoid vasculitis. [ncbi.nlm.nih.gov]