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A case of rheumatoid vasculitis involving hepatic artery in early rheumatoid arthritis

Title
A case of rheumatoid vasculitis involving hepatic artery in early rheumatoid arthritis
Authors
Lee J.-E.Kim I.J.Cho M.-S.Lee J.
Ewha Authors
이지수조민선김인제
SCOPUS Author ID
이지수scopus; 조민선scopus; 김인제scopus
Issue Date
2017
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934JCR Link
Citation
vol. 32, no. 7, pp. 1207 - 1210
Keywords
Hepatic arteryRheumatoid arthritisVasculitis
Publisher
Korean Academy of Medical Science
Indexed
SCI; SCIE; SCOPUS; KCI scopus
Abstract
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.
DOI
10.3346/jkms.2017.32.7.1207
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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