Clinical Case: Mrs. Robinson's Stiffness
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

If destroying the joints and having rheumatoid nodules all over isn't enough, how about a generalized vasculitis?
  • Rheumatoid vasculitis is a potentially catastrophic complication of RA.
  • Generally seen in people with advanced disease and/or
  • People with high RF levels.
  • IgM and IgG immune complexes stick to the walls of small and medium sized arteries.
  • Complement fixation and immune mediators initiate an acute leukocytoclastic vasculitis.
  • Multiple organ involvement.
  • Vasa nevorum and digital arteries especially.
  • Multiple organ infarctions.
How bad can the joint disease get?                                 Back
 

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