Abstract
A 63 year-old non-smoker woman with a 15 years history of rheumatoid arthritis characterized by erosive poliarthrtitis, rheumatoid factor elevated titers, and positive testing for anti-CCP antibodies. The treatment included methotrexate, prednisolone and hydroxicloroquine. Despite of treatment, developed isquemic ulcer at left hand dorsum and nailfod infarction and digital ischemia of the left fingers.
Rheumatoid vasculitis is an inflammatory process that primarily affects small to medium-sized vessels. It’s highly heterogeneous clinically, with wide-spread organ involvement. The incidence has declined in the past several decades, but cutaneous remains the most common presentation. It tipically occurs in patients with longstanding erosive deforming Rheumatoid Arthritis, and it’s manifestation is heterogeneous, dependeing the size of the blood vessel. The skin can presents purpura, nailfold infarcts, digital gangrene and cutaneous ulcers.
Citation
da Paz Otavio G (2020) Rheumatoid vasculitis: same hand, heterogeneous clinical presentation.
SM Dermatol J 6: 2.