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Medicina interna de México

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MARIN-HERNANDEZ, Daniela; ORRANTIA-VERTIZ, Mauricio; BARRAGAN-GARFIAS, Jorge Alberto  and  DUARTE-MOTE, Jesús. Rheumatoid vasculitis as first manifestation of rheumatoid arthritis. Med. interna Méx. [online]. 2018, vol.34, n.3, pp.480-485. ISSN 0186-4866.

The rheumatoid vasculitis is the most serious complication of rheumatoid arthritis, with high morbidity and mortality. It is an inflammatory process that affects small and medium vessels and that has heterogeneous manifestations, being the cutaneous lesions and neuropathy the most common. Its incidence has declined in the last decades because of the early use of disease modifying antirheumatic drugs. Despite the use of cyclophosphamide and the existence of biologic drugs, achieving the control of the disease continues to be a challenge. We present the case of a 50 year-old man, without relevant antecedents, only tabaco use, that presented with a vasculitic neuropathy, rheumatoid factor and cyclic citrullinated peptide antibody positive. This bibliographic review has the intention to update the knowledge of this entity and to be considered a differential diagnosis.

Keywords : Rheumatoid vasculitis; Rheumatoid arthritis; Vasculitis.

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