Chard M D, Jenner J R, Scott D G
Department of Rheumatology, Addenbrooke's Hospital, Cambridge.
Br J Rheumatol. 1994 Sep;33(9):867-8. doi: 10.1093/rheumatology/33.9.867.
Digital vasculitis complicating RA is not infrequent and is usually benign but may herald the onset of systemic vasculitis. A case is reported of a man with longstanding seropositive RA who developed digital vasculitis in association with septicaemia and multiple joint sepsis. Awareness that the onset of digital vasculitis in RA may be related to infection is important. This is especially so since aggressive immunosuppressive therapy is often used in patients with systemic vasculitis.
类风湿关节炎(RA)并发的数字血管炎并不罕见,通常为良性,但可能预示着系统性血管炎的发作。本文报告一例长期血清学阳性的RA男性患者,其出现了与败血症和多关节脓毒症相关的数字血管炎。认识到RA中数字血管炎的发作可能与感染有关很重要。鉴于系统性血管炎患者常采用积极的免疫抑制治疗,这一点尤为重要。