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[类风湿关节炎中的血管炎——病例报告]

[Vasculitis in rheumatoid arthritis--case report].

作者信息

Vergles Domagoj, Culo Ivana-Melanie, Durasević Zeljko, Soldo-Juresa Dragica, Galesić Kresimir, Morović-Vergles Jadranka

机构信息

Odjel za abdominalnu kirurgiju, Klinika za kirurgiju, Klinicka bolnica Dubrava, Avenija G. Suska 6, 10000 Zagreb.

出版信息

Reumatizam. 2006;53(1):25-8.

Abstract

The presence of positive rheumatoid factor (RF) titer in a patient with rheumatoid arthritis (RA) is of clinical value because its presence tends to correlate with the development of extraarticular manifestations. There is a loose correlation with severity of disease and titer. Extraarticular manifestations includes vasculitis, pericarditis, subcutaneous nodules, pulmonary nodules or interstitial fibrosis, episcleritis and mononeuritis multiplex. The vasculitis is most frequently evidenced as skin infarctions/ulcerations and mononeuritis multiplex. We report a case of rheumatoid vasculitis in a 48 years old women with long history of RA, who developed vasculitis of distal arteries with gangrene of digits of upper and lower extremities.

摘要

类风湿关节炎(RA)患者类风湿因子(RF)滴度呈阳性具有临床价值,因为其出现往往与关节外表现的发生相关。它与疾病严重程度和滴度之间存在松散的相关性。关节外表现包括血管炎、心包炎、皮下结节、肺结节或间质性纤维化、巩膜外层炎和多发性单神经炎。血管炎最常表现为皮肤梗死/溃疡和多发性单神经炎。我们报告一例48岁患有长期RA病史的女性类风湿血管炎病例,该患者出现远端动脉血管炎并伴有上下肢手指坏疽。

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