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Rheumatoid vasculitis may affect almost any organ in the body. The skin and peripheral nerves are the most frequently affected areas. Although major organ system involvement of the kidney, bowel, or heart is much less common, it can result in serious morbidity and mortality, such as renal failure, bowel ischemia, and myocardial infarction. [3]
Leukocytoclastic vasculitis: Small vessels in skin Various immune complexes Probable [38] Lupus vasculitis: Small to medium vessels in multiple organs ANA, anti-dsDNA, anti-Smith, others Confirmed [39] Rheumatoid vasculitis: Small to medium vessels in skin, nerves, eyes, heart Rheumatoid factor, ACPA Probable [40] Microscopic polyangiitis (MPA)
IgA vasculitis (HSP), previously known as Henoch–Schönlein purpura, is an autoimmune disease that most commonly affects children. In the skin, the disease causes palpable purpura (small, raised areas of bleeding underneath the skin), often with joint pain and abdominal pain .
Arthritis: Pain or swelling (60%), often initially diagnosed as rheumatoid arthritis; Skin: subcutaneous nodules (granulomas) on the elbow, purpura, various others (see cutaneous vasculitis) Nervous system: occasionally sensory neuropathy (10%) and rarely mononeuritis multiplex; Heart, gastrointestinal tract, brain, other organs: rarely affected.
Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects joints. [1] It typically results in warm, swollen, and painful joints. [1] Pain and stiffness often worsen following rest. [1] Most commonly, the wrist and hands are involved, with the same joints typically involved on both sides of the body. [1]
Vasculitis frequently coexists with infections, and several infections, including hepatitis B and C, HIV, infective endocarditis, and tuberculosis, are significant secondary causes of vasculitis. [35] Except for rheumatoid vasculitis, the majority of secondary vasculitis forms are exceedingly rare. [36]
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