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A Case of Rheumatoid Vasculitis Involving Hepatic Artery in Early Rheumatoid Arthritis
Journal of Korean Medical Science ; : 1207-1210, 2017.
Article in English | WPRIM | ID: wpr-176871
ABSTRACT
Rheumatoid vasculitis is a rare, but most serious extra-articular complications of long-standing, seropositive rheumatoid arthritis (RA). Vasculitis of hepatic artery is an extremely rare but severe manifestation of rheumatoid vasculitis. A 72-year-old woman who presented with polyarthralgia for 2 months was diagnosed with early RA. Since she had manifestations of livedo reticularis, and liver dysfunction which was atypical for RA patients, a percutaneous needle liver biopsy was performed revealing arteritis of a medium-sized hepatic artery. Extensive investigations did not reveal evidences of other systemic causes such as malignancy or systemic vasculitis. The patient was diagnosed with rheumatoid vasculitis involving hepatic arteries based on Bacon and Scott criteria for rheumatoid vasculitis. With high dose corticosteroid and cyclophosphamide induction and methotrexate and tacrolimus maintenance treatment, she was successfully recovered. Association of rheumatoid vasculitis at very early stages of the disease may represent an early aggressive form of RA.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Arteritis / Arthritis, Rheumatoid / Vasculitis / Biopsy / Methotrexate / Tacrolimus / Arthralgia / Cyclophosphamide / Livedo Reticularis / Rheumatoid Vasculitis Limits: Aged / Female / Humans Language: English Journal: Journal of Korean Medical Science Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Arteritis / Arthritis, Rheumatoid / Vasculitis / Biopsy / Methotrexate / Tacrolimus / Arthralgia / Cyclophosphamide / Livedo Reticularis / Rheumatoid Vasculitis Limits: Aged / Female / Humans Language: English Journal: Journal of Korean Medical Science Year: 2017 Type: Article