Mesenteric Panniculitis: A Rare Condition in a Patient With Rheumatoid Arthritis

A rare condition of rheumatoid arthritis

RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren ◽

10.1055/s-2008-1055985 ◽

1983 ◽

Vol 139 (12) ◽

pp. 706-707

Author(s):

A. Moilanen ◽

A. Vilppula

Keyword(s):

Rheumatoid Arthritis ◽

Rare Condition

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Acquired Hemophilia in a Patient With Rheumatoid Arthritis: Case Report and Literature Review

Clinical Management Issues ◽

10.7175/cmi.v12i1.1362 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Masen Abdel Jaber ◽

Roberto Bortolotti ◽

Sara Martinelli ◽

Mara Felicetti ◽

Teresa Aloisi ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Rheumatic Diseases ◽

Lupus Erythematosus ◽

Soft Tissues ◽

Hemophilia A ◽

Rare Condition ◽

Immunosuppressive Drugs ◽

Acquired Hemophilia A ◽

Acquired Hemophilia ◽

Chronic Inflammatory Condition

Acquired hemophilia (AH) is a rare bleeding disorder caused by the spontaneous development of autoantibodies against coagulation factors, most commonly factor (F) VIII (acquired hemophilia A, AHA). The clinical manifestation of AHA includes mostly spontaneous hemorrhages into skin, mucous membranes, muscles, soft tissues, or joints. AHA should be suspected when a patient with no history of hemorrhages presents with bleeding and an unexplained prolonged activated partial thromboplastin time. The diagnosis is based on the clinical picture, the presence of low FVIII activity and evidence of FVIII inhibitor. In around half of patients, an underlying disorder (rheumatic diseases, malignancy, infections) or taking some drugs are associated with AHA; the remaining cases are idiopathic. Rheumatoid arthritis is a chronic inflammatory condition, marked by swelling and tenderness of small joints; it is usually treated with steroid and immunosuppressive drugs such as methotrexate, TNF-alpha inhibitors, and other biologic therapies (abatacept, tocilizumab, rituximab).We presented a patient with rheumatoid arthritis who developed acquired hemophilia A with hemarthroses; starting from this case, we focused on the literature about AHA in rheumatic diseases. We found 35 cases, 15 in systemic lupus erythematosus and 12 in rheumatoid arthritis, while the remaining cases were reported in Sjögren’s syndrome, polymyalgia rheumatica, systemic sclerosis, and psoriatic arthritis. Ecchymosis and cutaneous hematomas were the main clinical features while hemarthroses was quite a rare condition, shown in just three patients.

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Tophaceous Gout Causing Atlanto-Axial Subluxation Mimicking Rheumatoid Arthritis: A Case Report

Journal of Orthopaedic Surgery ◽

10.1177/230949900501300220 ◽

2005 ◽

Vol 13 (2) ◽

pp. 203-206 ◽

Cited By ~ 19

Author(s):

NN Wazir ◽

V Moorthy ◽

A Amalourde ◽

HH Lim

Keyword(s):

Rheumatoid Arthritis ◽

Case Report ◽

Obese Woman ◽

Gouty Arthritis ◽

Rare Condition ◽

Posterior Decompression ◽

Tophaceous Gout ◽

Neurological Improvement ◽

Atlanto Axial Joint ◽

Polyarticular Disease

This is a case report of an extremely rare condition of atlanto-axial subluxation secondary to gouty arthritis, which mimicked rheumatoid arthritis at presentation. Gouty arthritis involving the spine is a rare condition. We highlight a case of gouty arthritis involving the atlanto-axial joint resulting in joint instability, subluxation, and neurological deficit. A 66-year-old obese woman who had a polyarticular disease for the previous 3 years presented with neck pain and progressive neurology. A 2-stage procedure was performed: posterior decompression and occipitocervical fusion followed by further anterior trans-oral decompression. However, after an initial neurological improvement, she succumbed to aspirational pneumonia and septicaemia. Atlanto-axial subluxation caused by gouty arthritis can present in the same way as rheumatoid arthritis. Therefore, the possibility of this as a differential diagnosis should be kept in mind.

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Rheumatoid Arthritis and Autoimmune Hemolytic Anemia as First Manifestation of Rhupus

Case Reports in Rheumatology ◽

10.1155/2020/8870643 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Alejandra Espinosa-Orantes ◽

Martha Adriana Hernandez-Vera ◽

Jose Daniel Juarez-Villa ◽

Gutiérrez-Espinoza Anahí Guadalupe ◽

Guillermo Flores

Keyword(s):

Rheumatoid Arthritis ◽

Systemic Lupus Erythematosus ◽

Hemolytic Anemia ◽

Lupus Erythematosus ◽

Autoimmune Hemolytic Anemia ◽

Rare Case ◽

Rare Condition ◽

Systemic Lupus

“Rhupus” syndrome is a rare condition that describes the coexistence of systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA), which prevalence among patients with SLE varies from 0.01% to 9.7%. There are few reported cases of the association between autoimmune hemolytic anemia and rheumatoid arthritis with systemic lupus erythematosus (rhupus). We report a rare case of rhupus in a 29-year-old woman, associated with autoimmune hemolytic anemia.

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Pyoderma Gangrenosum Severely Affecting Both Hands

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(96)80193-8 ◽

1996 ◽

Vol 21 (6) ◽

pp. 792-794 ◽

Cited By ~ 10

Author(s):

D. J. ADAM ◽

I. NAWROZ ◽

P. W. R. PETRIE

Keyword(s):

Rheumatoid Arthritis ◽

Ulcerative Colitis ◽

Pyoderma Gangrenosum ◽

Surgical Intervention ◽

Rare Condition ◽

Subsequent Treatment ◽

Dramatic Improvement ◽

Tissue Destruction ◽

Immunosuppressant Therapy ◽

Therapy Treatment

We report a case of pyoderma gangrenosum affecting both hands simultaneously. Pyoderma gangrenosum affecting the hands is an extremely rare condition which may result in considerable tissue destruction. Management includes immunosuppressant therapy, treatment of associated medical conditions and minimal surgical intervention. Despite a high maintenance dose of corticosteroid and adequate control of coexisting ulcerative colitis and rheumatoid arthritis, tissue destruction in the hands spread rapidly in our patient. The key to the patient’s dramatic improvement was the tissue biopsy suggesting pyoderma gangrenosum and the subsequent treatment with the cytotoxic immunosuppressant, azathioprine.

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