Lokineni Sravani, Amr Mohamed, Boppana Leela Krishna Teja, Garg Megha
Department of Internal Medicine, Rochester Regional Health, Rochester, NY, USA.
Eur J Case Rep Intern Med. 2021 Apr 29;8(4):002561. doi: 10.12890/2021_002561. eCollection 2021.
Rheumatoid vasculitis is a rare, extra-articular manifestation that can be seen in long-standing rheumatoid arthritis. Here we present the case of a 51-year-old man who presented with arthralgias, skin rash, dyspnoea and generalized leg swelling and who was diagnosed with rheumatoid arthritis flare.
Extra-articular manifestations like rheumatoid vasculitis and pericarditis rarely present as initial manifestations of rheumatoid arthritis.A high index of suspicion is required to make the diagnosis, especially in an adult who presents with multiorgan manifestations, rash, and a high titre of rheumatoid factor and anti-CCP antibody levels.
类风湿性血管炎是一种罕见的关节外表现，可见于长期类风湿性关节炎患者。在此，我们报告一例51岁男性病例，该患者出现关节痛、皮疹、呼吸困难及双下肢广泛性肿胀，被诊断为类风湿性关节炎发作。
类风湿性血管炎和心包炎等关节外表现很少作为类风湿性关节炎的初始表现出现。诊断需要高度怀疑，尤其是对于出现多器官表现、皮疹、高滴度类风湿因子和抗环瓜氨酸肽抗体水平的成人患者。
