A case of rheumatoid vasculitis involving hepatic artery in early rheumatoid arthritis
- 주제(키워드) Hepatic artery , Rheumatoid arthritis , Vasculitis
- 발행기관 Korean Academy of Medical Science
- 발행년도 2017
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000145579
- 본문언어 영어
- Published As http://dx.doi.org/10.3346/jkms.2017.32.7.1207
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Rheumatoid vasculitis is a rare, but most serious extra-articular complications of longstanding, seropositive rheumatoid arthritis (RA). Vasculitis of hepatic artery is an extremely rare but severe manifestation of rheumatoid vasculitis. A 72-year-old woman who presented with polyarthralgia for 2 months was diagnosed with early RA. Since she had manifestations of livedo reticularis, and liver dysfunction which was atypical for RA patients, a percutaneous needle liver biopsy was performed revealing arteritis of a medium-sized hepatic artery. Extensive investigations did not reveal evidences of other systemic causes such as malignancy or systemic vasculitis. The patient was diagnosed with rheumatoid vasculitis involving hepatic arteries based on Bacon and Scott criteria for rheumatoid vasculitis. With high dose corticosteroid and cyclophosphamide induction and methotrexate and tacrolimus maintenance treatment, she was successfully recovered. Association of rheumatoid vasculitis at very early stages of the disease may represent an early aggressive form of RA. © 2017 The Korean Academy of Medical Sciences.
more