Department of Internal Medicine and Rheumatology, Dong-A University Hospital, Pusan, Korea.
Mod Rheumatol. 2012 Nov;22(6):924-7. doi: 10.1007/s10165-012-0608-y. Epub 2012 Feb 17.
A 57-year-old man with rheumatoid arthritis presented severe abdominal pain symptomatic of panperitonitis. Computer tomography findings were consistent with vasculitis on the jejunum. Confirmatory angiography was conducted. Since abdominal vasculitis in rheumatoid arthritis is very rare, early diagnosis and treatment should be done according to clinical manifestation. In this case, high-dose steroid treatment was applied based on clinical manifestation, laboratory findings, and radiologic finding. After therapy, clinical manifestation and flare-up arthritis diminished.
一位 57 岁的男性类风湿关节炎患者表现出严重的腹痛症状,提示患有腹膜炎。计算机断层扫描结果提示空肠血管炎。进行了确认性血管造影检查。由于类风湿关节炎合并腹部血管炎非常罕见,应根据临床表现进行早期诊断和治疗。在本例中,根据临床表现、实验室检查和影像学检查结果,应用了大剂量类固醇治疗。治疗后,临床症状和关节炎发作减轻。