Rheumatoid Vasculitis as a Complication of Rheumatoid Arthritis: Two Case Reports

Authors

  • Freddy Octavio Liñán Ponce Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú. https://orcid.org/0000-0003-3898-0350
  • Juan Leiva Goicochea Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú.
  • Elmer Hidalgo Bravo Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú. https://orcid.org/0000-0002-8577-9863
  • Ginna Obregón Atanacio Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú.
  • Inés Loyola Macalapú Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú. https://orcid.org/0000-0003-2625-6373

DOI:

https://doi.org/10.20453/rmh.v36i2.5397

Keywords:

Rheumatoid vasculitis, Rheumatoid arthritis, Rheumatoid factor, Cutaneous ulcer

Abstract

Rheumatoid vasculitis is a rare, poor-prognosis complication of rheumatoid arthritis, occurring in less than 1% of cases. It presents as digital vasculitis, leukocytoclastic vasculitis, or medium/small-vessel vasculitis. Scott and Bacon’s criteria are used for classification. This report describes two cases with unusual presentations, their diagnostic approach, and treatment. Both presented with lower limb ulcers, general malaise, and elevated rheumatoid factor. Histopathology confirmed small-vessel vasculitis. Both were treated with methotrexate and prednisone with favorable outcomes. The report highlights the importance of considering rheumatoid vasculitis in the differential diagnosis of non-healing ulcers.

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Author Biographies

Freddy Octavio Liñán Ponce, Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú.

        

Juan Leiva Goicochea, Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú.

       

Elmer Hidalgo Bravo, Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú.

            

Ginna Obregón Atanacio, Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú.

     

Inés Loyola Macalapú, Departamento de Medicina. Hospital Víctor Lazarte Echegaray. Trujillo, Perú.

           

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Published

2025-06-30

How to Cite

1.
Liñán Ponce FO, Leiva Goicochea J, Hidalgo Bravo E, Obregón Atanacio G, Loyola Macalapú I. Rheumatoid Vasculitis as a Complication of Rheumatoid Arthritis: Two Case Reports. Rev Méd Hered [Internet]. 2025 Jun. 30 [cited 2025 Jul. 17];36(2):163-7. Available from: http://44.198.254.164/index.php/RMH/article/view/5397

Issue

Vol. 36 No. 2 (2025): Abril-junio

Section

CASE REPORTS

License

Copyright (c) 2025 Freddy Octavio Liñán Ponce, Juan Leiva Goicochea, Elmer Hidalgo Bravo, Ginna Obregón Atanacio, Inés Loyola Macalapú

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