Ikeda E, Uchigasaki S, Baba S, Suzuki H
Department of Dermatology, Surugadai Nihon University Hospital, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8309, Japan.
Eur J Dermatol. 1999 Jun;9(4):313-6.
The rheumatoid papule has recently been described as the skin manifestation of rheumatoid arthritis (RA). The papules represent leukocytoclastic vasculitis and necrobiosis clinicopathologically. We report a 59-year-old Japanese woman with multiple recurrent rheumatoid papules located on the bilateral extensor forearms in correlation with the level of RA activity and as a cutaneous manifestation of rheumatoid vasculitis. These papules appeared prior to other cutaneous manifestations. It was suggested that rheumatoid papules represent the early stage of rheumatoid vasculitis and that they are a reliable early clinical marker of rheumatoid vasculitis.
类风湿丘疹最近被描述为类风湿关节炎（RA）的皮肤表现。这些丘疹在临床病理上表现为白细胞破碎性血管炎和渐进性坏死。我们报告了一名59岁的日本女性，其双侧前臂伸侧有多个复发性类风湿丘疹，与RA活动水平相关，是类风湿性血管炎的一种皮肤表现。这些丘疹在其他皮肤表现之前出现。提示类风湿丘疹代表类风湿性血管炎的早期阶段，是类风湿性血管炎可靠的早期临床标志物。
