Rheumatoid Vasculitis, an Uncommon Complication of Non-Deforming Rheumatoid Arthritis: A Case Report.
DMARDs
rheumatoid arthritis
thrombosis
ulcers
vasculitis
Journal
Open access rheumatology : research and reviews
ISSN: 1179-156X
Titre abrégé: Open Access Rheumatol
Pays: New Zealand
ID NLM: 101688698
Informations de publication
Date de publication:
2022
2022
Historique:
received:
21
03
2022
accepted:
11
07
2022
entrez:
26
7
2022
pubmed:
27
7
2022
medline:
27
7
2022
Statut:
epublish
Résumé
We present an 18-year-old female from South Sudan presented with right fingertips ulceration and black discolouration associated with bilateral wrist/metacarpophalangeal joints pain for five months. The ulceration began at the tip of the right middle finger and gradually progressed to involve the rest of the hand and was associated with agonizing pain. A Doppler study of the right upper limb revealed thrombosis of the antecubital portion of the basilar, ulnar, and part of the distal radial arteries. Blood investigations showed high anti-CCP, doubtful rheumatoid factor titre and ANA titre of 1:320 with coarse and nucleated cells; however, all ANA parameters were negative. A definitive diagnosis of rheumatoid arthritis complicated by rheumatoid vasculitis was made. Unfortunately, the middle finger could not be preserved and ended up amputated, and the patient was commenced on steroids, DMARDs and warfarin. The patient responded very well to the management plan with pain alleviation, ulcers healing and clot resolution.
Identifiants
pubmed: 35880084
doi: 10.2147/OARRR.S367253
pii: 367253
pmc: PMC9307864
doi:
Types de publication
Case Reports
Langues
eng
Pagination
141-146Informations de copyright
© 2022 Taha et al.
Déclaration de conflit d'intérêts
All authors report no conflicts of interest in this work.
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