ANCA-associated vasculitis can present with episodic attacks of joint pain consistent with palindromic rheumatism.
Zoe Rutter-LocherBruce KirkhamDavid P D'CruzPublished in: BMJ case reports (2021)
A 64-year-old man with a 2-year history of palindromic rheumatoid arthritis, presented with recurrent flares of arthritis, weight loss, new onset Raynaud's phenomenon and one previous episode of small-volume haemoptysis. Investigations, including renal biopsy, revealed antineutrophil cytoplasmic antibodies-mediated vasculitis. This case highlights the need to consider vasculitis in patients in whom there is an atypical history of arthritis.
Keyphrases
- rheumatoid arthritis
- weight loss
- end stage renal disease
- ejection fraction
- newly diagnosed
- disease activity
- chronic pain
- bariatric surgery
- prognostic factors
- pain management
- single cell
- neuropathic pain
- ultrasound guided
- adipose tissue
- patient reported outcomes
- type diabetes
- body mass index
- systemic lupus erythematosus
- gastric bypass
- roux en y gastric bypass
- weight gain
- glycemic control