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Improved rheumatoid digital vasculitis in a patient treated with TNFα agent blocking (infliximab)

Identifieur interne : 001E61 ( Istex/Corpus ); précédent : 001E60; suivant : 001E62

Improved rheumatoid digital vasculitis in a patient treated with TNFα agent blocking (infliximab)

Auteurs : Maurizio Benucci ; Francesca Li Gobbi ; Gianantonio Saviola ; Mariangela Manfredi

Source :

RBID : ISTEX:B9FCDE3366A07A35ECFB96948364BD27CE4BD3ED

English descriptors

Abstract

Abstract: Rheumatoid vasculitis (RV) is an uncommon but potentially catastrophic complication of rheumatoid arthritis (RA). There are few current extensive studies and no consensus regarding the clinical, laboratory, histologic features and management or prognosis of RV. We report a case of RV in a 74-year old woman with a long (14 years) history of RA, who developed vasculitis of distal arteries with gangrene of digits of upper and lower extremities. After the failure of various immunosuppressive drugs (cyclophosphamide, methotrexate), the patient was treated with anti-TNFalpha infliximab. Digital gangrene healed within four months from the start of anti-TNFalpha treatment.

Url:
DOI: 10.1007/s00296-008-0592-x

Links to Exploration step

ISTEX:B9FCDE3366A07A35ECFB96948364BD27CE4BD3ED

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<title>Improved rheumatoid digital vasculitis in a patient treated with TNFα agent blocking (infliximab)</title>
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<title>Improved rheumatoid digital vasculitis in a patient treated with TNFα agent blocking (infliximab)</title>
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<name type="personal" displayLabel="corresp">
<namePart type="given">Maurizio</namePart>
<namePart type="family">Benucci</namePart>
<affiliation>Rheumatology Unit, Nuovo Ospedale S. Giovanni di Dio, ASL 10 Florence via di Torregalli 3, Florence, Italy</affiliation>
<affiliation>E-mail: maubenucci@tiscali.it</affiliation>
<affiliation>E-mail: maurizio.benucci@asf.toscana.it</affiliation>
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<name type="personal">
<namePart type="given">Francesca</namePart>
<namePart type="family">Li Gobbi</namePart>
<affiliation>Rheumatology Unit, Nuovo Ospedale S. Giovanni di Dio, ASL 10 Florence via di Torregalli 3, Florence, Italy</affiliation>
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<name type="personal">
<namePart type="given">Gianantonio</namePart>
<namePart type="family">Saviola</namePart>
<affiliation>Rheumatology and Rehabilitation Unit, S. Maugeri Foundation IRCCS, Mantua, Italy</affiliation>
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<name type="personal">
<namePart type="given">Mariangela</namePart>
<namePart type="family">Manfredi</namePart>
<affiliation>Immunology and Allergology Laboratory Unit, Nuovo Ospedale S. Giovanni di Dio, ASL 10, Florence, Italy</affiliation>
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<abstract lang="en">Abstract: Rheumatoid vasculitis (RV) is an uncommon but potentially catastrophic complication of rheumatoid arthritis (RA). There are few current extensive studies and no consensus regarding the clinical, laboratory, histologic features and management or prognosis of RV. We report a case of RV in a 74-year old woman with a long (14 years) history of RA, who developed vasculitis of distal arteries with gangrene of digits of upper and lower extremities. After the failure of various immunosuppressive drugs (cyclophosphamide, methotrexate), the patient was treated with anti-TNFalpha infliximab. Digital gangrene healed within four months from the start of anti-TNFalpha treatment.</abstract>
<note>Case Report</note>
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<genre>Keywords</genre>
<topic>Rheumatoid vasculitis</topic>
<topic>TNFα blocking agents</topic>
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<title>Rheumatology International</title>
<subTitle>Clinical and Experimental Investigations</subTitle>
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<dateIssued encoding="w3cdtf">2008-09-10</dateIssued>
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<genre>Medicine & Public Health</genre>
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<identifier type="ISSN">0172-8172</identifier>
<identifier type="eISSN">1437-160X</identifier>
<identifier type="JournalID">296</identifier>
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<number>12</number>
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<identifier type="DOI">10.1007/s00296-008-0592-x</identifier>
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