Case Reports in Rheumatology最新文献_第8页

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

Antiphospholipid Syndrome Associated with Nonradiographic Axial Spondyloarthritis. 抗磷脂综合征与非影像学轴性脊柱性关节炎相关。

Case Reports in Rheumatology Pub Date : 2021-12-01 eCollection Date: 2021-01-01 DOI: 10.1155/2021/4359488

Jozélio Freire De Carvalho, Antoniella Fernanda Mendanha Sousa

{"title":"Antiphospholipid Syndrome Associated with Nonradiographic Axial Spondyloarthritis.","authors":"Jozélio Freire De Carvalho, Antoniella Fernanda Mendanha Sousa","doi":"10.1155/2021/4359488","DOIUrl":"https://doi.org/10.1155/2021/4359488","url":null,"abstract":"Herein, we describe a patient with antiphospholipid syndrome (APS) associated with nonradiographic axial spondyloarthritis (NRAS). A 31-year-old woman with a past medical history of uveitis experienced a pulmonary thromboembolism in March 2014 and was treated with rivaroxaban (20 mg/day). Five months later, she started complaining of low back pain. The results on contrast-enhanced sacroiliac magnetic resonance imaging were normal. Laboratory tests revealed positive HLA-B27 and the presence of lupus anticoagulant and IgM anticardiolipin. The diagnoses of APS and NRAS were made. The patient was treated with rivaroxaban for APS and sulfasalazine (2 g/day), respectively. As she showed the presence of lupus anticoagulant antibodies in blood, she did not receive nonsteroidal anti-inflammatory drugs. After 6 months, the patient was asymptomatic, without lumbar pain; she also showed normalization of the erythrocyte sedimentation rate and the C-reactive protein and vitamin D levels, good control of lumbar pain, and no new uveitis episodes. The APS was also stable. To the best of our knowledge, this is the first reported case of NRAS associated with APS.","PeriodicalId":9622,"journal":{"name":"Case Reports in Rheumatology","volume":"2021 ","pages":"4359488"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39720655","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

P-ANCA Systemic Vasculitis Induced by Brucellosis in an Elderly Male Patient. 老年男性布鲁氏菌病致P-ANCA全身性血管炎1例。

Case Reports in Rheumatology Pub Date : 2021-11-25 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6117671

Mohammed Cheikh, Abdulrahman Kabli, Esraa Sendi, Hani Almoallim

{"title":"P-ANCA Systemic Vasculitis Induced by Brucellosis in an Elderly Male Patient.","authors":"Mohammed Cheikh, Abdulrahman Kabli, Esraa Sendi, Hani Almoallim","doi":"10.1155/2021/6117671","DOIUrl":"https://doi.org/10.1155/2021/6117671","url":null,"abstract":"One of the most prevalent causes of vasculitis is bacterial infection. An infection that causes anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is uncommon and not reported frequently. We report a case of a 74-year-old male who presented with fever for ten days and was found to have brucellosis. Then, he was diagnosed with Guillain-Barré syndrome (GBS) and started on immunoglobulin (IVIG) for one week without a response. His fever was still persistent despite appropriate antibiotic therapy. Rheumatology evaluation revealed a history of multiple joint pain and swelling, elevated inflammatory marker, and a high titer of P-ANCA. Steroid therapy was started initially on the background of antibiotics therapy. His fever and other symptoms showed marked improvement after one week. However, P-ANCA titer was still elevated. The decision was made to treat the patient as a case of brucellosis-induced P-ANCA vasculitis. Azathioprine was added, and steroid was maintained for one month and then it was tapered gradually. All symptoms improved from the third month of follow-up except weakness from peripheral neuropathy with normalization of P-ANCA titer. His condition remained stable after six months of follow-up. Clinicians should be aware of the possibility of infection-induced vasculitis, particularly when patients' symptoms persist despite the appropriate use of antibiotics.","PeriodicalId":9622,"journal":{"name":"Case Reports in Rheumatology","volume":"2021 ","pages":"6117671"},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8639279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39572476","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: 1