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Eur J Rheumatol. 2017 Mar;4(1):57-58. doi: 10.5152/eurjrheum.2017.160058. Epub 2017 Mar 01.

Can rheumatoid vasculitis predate a diagnosis of rheumatoid arthritis?.

European journal of rheumatology

Sarah Sacks, Alan Steuer

Affiliations

  1. Department of Rheumatology, Wexham Park Hospital, Slough, United Kingdom.

PMID: 28293454 PMCID: PMC5335888 DOI: 10.5152/eurjrheum.2017.160058

Abstract

We report regarding a male patient who presented with a systemic vasculitis that was consistent with a diagnosis of polyarteritis nodosa. At presentation, he had no features of inflammatory arthritis but had a high rheumatoid factor titer and low C4 level. Withdrawal of immunosuppression after 6 years resulted in the development of classical rheumatoid arthritis (RA). This case supports previous reports that revealed that vasculitis may predate the development or occur very early in the course of articular RA.

Keywords: Rheumatoid arthritis; mononeuritis multiplex; rheumatoid vasculitis

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

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