PDF(Pubmed)
Abstract：
Rheumatoid vasculitis (RV) is a rare disease associated with rheumatoid arthritis (RA). The incidence of RV has decreased with the development of treatment for RA. However, some patients still develop RV in rural areas, where medical care for autoimmune diseases is inadequate. In this report, we describe a case of RV complicated by an acute exacerbation of generalized ulcerative lesions and capillary leak syndrome in an 86-year-old woman with a severe joint deformity due to RA. RV is a systemic vasculitis characterized by various symptoms. When a patient with RA is diagnosed with poorly controlled joint deformities, general physicians should consider the possibility of RV. Urgent investigation and intensive treatment should be initiated for vasculitis to support the lives of older patients with advanced RA.
摘要：
类风湿性关节炎（RV）是与类风湿性关节炎（RA）有关的罕见疾病。RV的发病率随着RA治疗的发展而降低。然而,一些患者在农村地区仍然发展为RV，对自身免疫性疾病的医疗护理不足。在这份报告中,我们描述了一例RV并发全身性溃疡性病变和毛细血管渗漏综合征急性加重的病例,该病例是一名86岁女性,因RA导致严重关节畸形.RV是以各种症状为特征的全身性血管炎。当RA患者被诊断为控制不良的关节畸形时，一般医生应考虑RV的可能性。应该对血管炎进行紧急调查和强化治疗，以支持老年晚期RA患者的生命。
