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Multiple rheumatoid papules characteristic of the early stage of rheumatoid vasculitis


European Journal of Dermatology. Volume 9, Number 4, 313-6, June 1999, Cas clinique

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Author(s) : E. Ikeda, S. Uchigasaki, S. Baba, H. Suzuki

Summary : The rheumatoid papule has recently been described as the skin manifestation of rheumatoid arthritis (RA). The papules represent leukocytoclastic vasculitis and necrobiosis clinicopathologically. We report a 59-year-old Japanese woman with multiple recurrent rheumatoid papules located on the bilateral extensor forearms in correlation with the level of RA activity and as a cutaneous manifestation of rheumatoid vasculitis. These papules appeared prior to other cutaneous manifestations. It was suggested that rheumatoid papules represent the early stage of rheumatoid vasculitis and that they are a reliable early clinical marker of rheumatoid vasculitis.

Keywords : rheumatoid papule, rheumatoid arthritis, vasculitis.

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