Case Reports in Rheumatology最新文献_第7页

Hodgkin Lymphoma Mimicking Lumbar Spine Tuberculosis 模拟腰椎结核的霍奇金淋巴瘤

Case Reports in Rheumatology Pub Date : 2022-02-25 DOI: 10.1155/2022/5298960

H. J. Djossou, M. A. Ghassem, H. Toufik, M. Oukabli, A. Bezza, L. Achemlal

引用次数: 2

Erratum to “A Rare Case of Fatal Hemorrhagic Stroke in a Young Female with Early Mixed Connective Tissue Disease” “1例年轻女性早期混合性结缔组织病致死性出血性中风”的勘误

Case Reports in Rheumatology Pub Date : 2022-02-23 DOI: 10.1155/2022/9762151

James R. Agapoff IV

引用次数: 0

Chemosis as an Initial Presentation of Systemic Lupus Erythematosus. 化脓是系统性红斑狼疮的初始表现。

Case Reports in Rheumatology Pub Date : 2022-02-15 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4912092

Carvy Floyd Luceno, Minho Yu, Daniel I Kim, Vaneet K Sandhu

引用次数: 0

New-Onset Systemic Lupus Erythematosus after mRNA SARS-CoV-2 Vaccination. mRNA SARS-CoV-2疫苗接种后新发系统性红斑狼疮。

Case Reports in Rheumatology Pub Date : 2022-02-11 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6436839

Laisha Báez-Negrón, Luis M Vilá

{"title":"New-Onset Systemic Lupus Erythematosus after mRNA SARS-CoV-2 Vaccination.","authors":"Laisha Báez-Negrón, Luis M Vilá","doi":"10.1155/2022/6436839","DOIUrl":"https://doi.org/10.1155/2022/6436839","url":null,"abstract":"Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease resulting from the interaction of genetic and environmental factors. In addition, some antiviral vaccines have been associated with the onset of SLE. Few cases of SLE occurring after SARS-CoV-2 mRNA have been reported. Herein, we report the case of a 27-year-old woman with type I diabetes mellitus and family history of SLE who presented with symmetric inflammatory polyarthritis of the proximal interphalangeal joints, metacarpophalangeal joints, wrists, knees, and ankles two weeks after receiving the second dose of the SARS-CoV-2 mRNA-1273 vaccine. Laboratory results revealed positive antinuclear, anti-dsDNA, anti-Ro, and anti-La/SSB antibodies and low C4 levels. She was initially treated with low-dose prednisone and hydroxychloroquine. Hydroxychloroquine was discontinued after she developed an urticarial rash. Subsequently, mycophenolate mofetil was added after she developed proteinuria. This case highlights the importance of considering the diagnosis of SLE in patients who present with inflammatory polyarthritis after COVID-19 vaccination.","PeriodicalId":9622,"journal":{"name":"Case Reports in Rheumatology","volume":"2022 ","pages":"6436839"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39940408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Cardiac Tamponade: A Rare Manifestation of Familial Mediterranean Fever. 心脏填塞:家族性地中海热的一种罕见表现。

Case Reports in Rheumatology Pub Date : 2022-02-07 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8334375

Abdolreza Malek, Tina Zeraati, Ariane Sadr-Nabavi, Niloofar Vakili, Mohammad Reza Abbaszadegan

{"title":"Cardiac Tamponade: A Rare Manifestation of Familial Mediterranean Fever.","authors":"Abdolreza Malek, Tina Zeraati, Ariane Sadr-Nabavi, Niloofar Vakili, Mohammad Reza Abbaszadegan","doi":"10.1155/2022/8334375","DOIUrl":"https://doi.org/10.1155/2022/8334375","url":null,"abstract":"Familial Mediterranean fever (FMF) typically presents with recurrent attacks of fever and serosal inflammation with peritoneum, pleura, and synovium. We usually do not expect pericardial involvement at the early stages. FMF is an autoinflammatory disease, usually inherited with an autosomal recessive pattern. The patients typically have biallelic mutations in the MEFV gene, located on chromosome 16. Colchicine is the first-line treatment of FMF, which not only plays a crucial prophylactic role regarding the attack episodes, but also prevents amyloidosis. Colchicine resistance and intolerance in FMF patients have been rarely reported. Alternative anti-inflammatory agents are understood to be helpful in such cases. We describe a 13-year-old boy referred to our pediatric department complaining of chest pain, dyspnea, and tachycardia. Due to the massive pericardial and pleural effusion, a pericardiocentesis was performed, and a chest tube was inserted. Cardiac tamponade was considered as the initial diagnosis. After a month, he faced another episode of pleuritic chest pain, fever, tachycardia, and pleural and pericardial effusion. Evaluation for probable differential diagnoses including infection, malignancy, and collagen vascular disease showed no remarkable results. Finally, the mutation found by whole exome sequencing was confirmed by direct Sanger sequencing revealing a heterozygote c.44G > C (p.Glu148Gln) mutation in exon 2, confirming the clinical diagnosis of familial Mediterranean fever. Since he seemed to be nonresponsive to the maximum standard dose of colchicine, 100 mg of daily dapsone was added to his treatment regimen, which controlled the attack episodes well. FMF, while rarely initiated with cardiac manifestation, should be considered in patients with any early signs and symptoms of cardiovascular involvement.","PeriodicalId":9622,"journal":{"name":"Case Reports in Rheumatology","volume":"2022 ","pages":"8334375"},"PeriodicalIF":0.0,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8844152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39641780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

First Presentation of Systemic Lupus Erythematosus in a 24-Year-Old Male following mRNA COVID-19 Vaccine. 一位24岁男性在接种mRNA - COVID-19疫苗后首次出现系统性红斑狼疮。

Case Reports in Rheumatology Pub Date : 2022-02-01 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9698138

Yael Raviv, Batya Betesh-Abay, Yuliya Valdman-Grinshpoun, Liora Boehm-Cohen, Michael Kassirer, Iftach Sagy

引用次数: 15

One in a Million: A Case Report of Stiff Person Syndrome. 百万分之一:一个僵硬的人综合症病例报告。

Case Reports in Rheumatology Pub Date : 2022-01-13 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7741545

Ruchi Yadav, Neeraj Abrol, Sima Terebelo

引用次数: 4

Extensive Longitudinal Transverse Myelitis after Influenza A Virus Infection in a Patient with Systemic Lupus Erythematosus. 系统性红斑狼疮患者甲型流感病毒感染后广泛的纵横脊髓炎1例。

Case Reports in Rheumatology Pub Date : 2022-01-07 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9506733

Suheiry Márquez, Luis M Vilá

引用次数: 2

Delayed Diagnosis: Tuberculous Arthritis of Right Knee Joint in a Patient with Rheumatoid Arthritis. 延迟诊断:类风湿性关节炎患者右膝关节结核性关节炎。

Case Reports in Rheumatology Pub Date : 2021-12-26 eCollection Date: 2021-01-01 DOI: 10.1155/2021/7751509

H Senarathna, K Deshapriya

{"title":"Delayed Diagnosis: Tuberculous Arthritis of Right Knee Joint in a Patient with Rheumatoid Arthritis.","authors":"H Senarathna, K Deshapriya","doi":"10.1155/2021/7751509","DOIUrl":"https://doi.org/10.1155/2021/7751509","url":null,"abstract":"Background: Though skeletal tuberculosis (TB) accounts about 3% of all TB cases, it occupies 10-35% of extrapulmonary TB cases. Common osteoarticular sites involved include the spine (40%), hip (25%), and knee (8%). Co-occurrence of rheumatoid arthritis (RA) and tuberculous arthritis involving peripheral joint is rarely reported in the literature. Case Presentation. We present a case of 42-year-old Sri Lankan-Sinhalese male with right knee joint pain and swelling for one-year duration. This patient had a history of long-standing RA with interstitial lung disease for which he was on multiple immunosuppressive medications including methotrexate, sulfasalazine, leflunomide, mycophenolate mofetil, and prednisolone. His knee joint aspiration fluid was positive for both acid fast bacilli (AFB) and polymerase chain reaction for TB (TB-PCR). He was started on anti-tuberculous chemotherapy.Conclusion: TB should be considered as an important differential diagnosis for chronic mono-arthritis of knee joint with a high degree of suspicion, particularly where TB is endemic.","PeriodicalId":9622,"journal":{"name":"Case Reports in Rheumatology","volume":"2021 ","pages":"7751509"},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39789884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Case Reports in Rheumatology Pub Date : 2021-12-23 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2983267

Shigeto Kobayashi, Issei Kida, Yuuki Makiyama, Yoshinori Taniguchi, Kurisu Tada, Naoto Tamura

{"title":"Tonsillitis-Related Arthritis: Advanced Understandings of Tonsillitis and Sterile Inflammatory Arthritis.","authors":"Shigeto Kobayashi, Issei Kida, Yuuki Makiyama, Yoshinori Taniguchi, Kurisu Tada, Naoto Tamura","doi":"10.1155/2021/2983267","DOIUrl":"https://doi.org/10.1155/2021/2983267","url":null,"abstract":"A 49-year-old man developed acute aseptic arthritis of the nonmigratory and asymmetrical type in his knee, ankle, and bilateral metatarsal joints 13 days after treatment with antibiotics for acute tonsillitis. He was diagnosed with tonsillitis-related arthritis after other rheumatic diseases were ruled out. Treatment with salazosulfapyridine, methotrexate, and methylprednisolone for 3 months did not completely improve. Then, tonsillectomy was undertaken and arthritis rapidly improved. Finegoldia magna (previously Peptostreptococcus magnus) was cultured from the microabscesses of the resected tonsils. After outpatient follow-up, the patient did not experience a relapse of arthritis for more than 2.7 years without any treatment. Poststreptococcal reactive arthritis (PSRA) is well described. However, up to 40% of patients with tonsillitis-related arthritis did not demonstrate evidence of streptococcal infection. It is noted that tonsillectomy is necessary to remove the tonsillar microabscesses and eradicate bacterial infection of the tonsils, especially for patients with a prolonged and/or recurrent course of PSRA and/or tonsillitis-related arthritis.","PeriodicalId":9622,"journal":{"name":"Case Reports in Rheumatology","volume":"2021 ","pages":"2983267"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8718286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39640471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0