RT Book, Section
A1 Serling-Boyd, Naomi
A1 Stone, John H.
A2 Stone, John H.
SR Print(0)
ID 1180197919
T1 Miscellaneous Forms of Vasculitis
T2 Current Diagnosis & Treatment: Rheumatology, 4e
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259644641
LK accessmedicine.mhmedical.com/content.aspx?aid=1180197919
RD 2023/03/29
AB ESSENTIALS  OF  DIAGNOSISRheumatoid  vasculitis  usually  occurs  in  patients  with  severe,  long-standing,  nodular,  destructive  rheumatoid  arthritis,  even  though  the  arthritis  is  not  always  still  active.Palpable  purpura,  cutaneous  ulcers  (particularly  in  the  malleolar  region),  digital  infarctions,  and  peripheral  sensory  neuropathy  are  common  manifestations.Tissue  biopsy  helps  confirm  the  diagnosis  of  rheumatoid  vasculitis,  though  the  diagnosis  is  often  clear  from  the  clinical  setting.  Nerve  conduction  studies  can  identify  involved  nerves  for  biopsy.  Muscle  biopsies  should  be  performed  simultaneously  with  nerve  biopsies  to  increase  the  diagnostic  yield  of  the  procedure.