Severe Mononeuritis Multiplex due to Rheumatoid Vasculitis in Rheumatoid Arthritis in Sustained Clinical Remission for Decades.
malignant rheumatoid arthritis
mononeuritis multiplex
rheumatoid arthritis
rheumatoid vasculitis
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
01 Mar 2020
01 Mar 2020
Historique:
pubmed:
19
11
2019
medline:
15
9
2020
entrez:
19
11
2019
Statut:
ppublish
Résumé
Rheumatoid vasculitis (RV) usually occurs in patients with refractory rheumatoid arthritis (RA). An 80-year-old woman was transferred to our hospital because of muscle weakness and paresthesia in all 4 limbs. She had been diagnosed with RA 30 years ago and achieved sustained clinical remission. At presentation, polyarthritis and drop foot were observed, and rheumatoid factor was prominently elevated. A peripheral nerve conduction test revealed mononeuritis multiplex in her limbs. We suspected that RV had developed rapidly despite RA having been stable for many years and started immunosuppression therapy with steroids combined with azathioprine. The treatment prevented worsening of muscle weakness and paresthesia.
Identifiants
pubmed: 31735796
doi: 10.2169/internalmedicine.3866-19
pmc: PMC7086314
doi:
Substances chimiques
Immunosuppressive Agents
0
Rheumatoid Factor
9009-79-4
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
705-710Références
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