Acro-osteolysis as the sole skeletal manifestation of rheumatoid vasculitis
| Autor: | B. M. Rohlfing, C. M. Basch, H. K. Genant |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Vasculitis
musculoskeletal diseases Pathology medicine.medical_specialty Arthritis Infarction Osteolysis Arthritis Rheumatoid Gangrene medicine Humans Radiology Nuclear Medicine and imaging Bone Resorption skin and connective tissue diseases business.industry Extremities General Medicine Middle Aged medicine.disease Radiography Peripheral neuropathy Rheumatoid arthritis Rheumatoid vasculitis Female business Complication |
| Zdroj: | The British Journal of Radiology. 50:830-833 |
| ISSN: | 1748-880X 0007-1285 |
| DOI: | 10.1259/0007-1285-50-599-830 |
| Popis: | Vasculitis is a common complication of rheumatoid arthritis (occurring in 8 to 23% of patients with rheumatoid arthritis) (Kemper et al., 1957); it may result in ischaemia and infarction of bowel, kidney, heart, liver, spleen, pancreas, gall-bladder, peripheral nerves, lymph nodes, skeletal muscle, synovium, and skin (Adler et al, 1962). Gangrene of the fingers with acro-osteolysis is not uncommon in patients having this form of “malignant” rheumatoid arthritis, but in all previously reported cases, gangrene with acro-osteolysis has occurred only in the presence of pre-existing, severely erosive, rheumatoid arthritis and, usually, peripheral neuropathy (Johnson et al., 1959; O'Quinn et al., 1965; Slocumb et al., 1967; Skrifvars et al., 1969). This is the first report of a patient with biopsy-proven rheumatoid arthritis who had digital gangrene, acro-osteolysis, and auto-amputation secondary to rheumatoid vasculitis, in the absence of radiographically detectable erosive articular disease or peripheral neur... |
| Databáze: | OpenAIRE |
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