Cutaneous manifestations of rheumatoid arthritis
(Case report: pyoderma gangrenosum)

Česká verzia

Authors: K. Hviščová; K. Pavelka
Authors place of work: Revmatologický ústav Praha
Published in the journal: Čes. Revmatol., 18, 2010, No. 3, p. 125-131.
Category: Case Report

Summary

Cutaneous manifestations in rheumatoid arthritis (RA) can be divided into two groups – nonspecific and specific. Atrophy and skin fragility, colour changes and involvement of nails belong to the nonspecific manifestations. Rheumatoid nodules and nodulosis, rheumatoid vasculitis and less frequently neutrophilic dermatosis belong to the disease-specific manifestations, as well as Sweet’s syndrome and pyoderma gangrenosum (PG). This report discusses nonspecific as well as specific cutaneous manifestations of RA with focus on neutrophilic dermatosis; a case report of pyoderma gangrenosum is also included. Recently, cases of successful treatment of PG, as a cutaneous manifestation of RA, by TNF-α blockers have been described, as well as contrary cases with occurrence of a cutaneous manifestation of RA during anti TNF-α treatment as an adverse event. Description of such a patient is reported in the end of this article.

Key words:
rheumatoid arthritis, rheumatoid nodules, rheumatoid vasculitis, neutrophilic dermatosis

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