リウマチ性血管炎
WordNet
- inflammation of a blood vessel
PrepTutorEJDIC
- リューマチ[性]の
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/07/07 21:36:24」(JST)
[Wiki en表示]
Rheumatoid vasculitis |
Classification and external resources |
ICD-10 |
M05.2 |
MeSH |
D056653 |
Rheumatoid vasculitis is skin condition that is a typical feature of rheumatoid arthritis, presenting as peripheral vascular lesions that are localized purpura, cutaneous ulceration, and gangrene of the distal parts of the extremities.[1][2]
See also
- Rheumatoid nodulosis
- List of cutaneous conditions
References
- ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Page 180. ISBN 0-7216-2921-0.
- ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
Clinical and histological nomenclature for skin lesions
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Macroscopic |
Primary lesions |
- flat
- elevated
- fluid
- Ulcer
- Erosion
- Telangiectasia
- Special initial lesions : Burrow
- Comedone
- Scutulum
- Target lesion
- Herald patch
- Wheal
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Secondary lesions |
- Scale
- Crust
- Lichenification
- Excoriation
- Induration
- Atrophy
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Microscopic |
- keratin: Hyperkeratosis
- Parakeratosis
- Dyskeratosis
- Hypergranulosis
- Acanthosis
- Papillomatosis
- Acantholysis
- Spongiosis
- Hydropic swelling
- Exocytosis
- Vacuolization
- Erosion
- Ulceration
- Lentiginous
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Musculoskeletal disorders: Arthropathies (M00–M19, 711–719)
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Arthritis
(monoarthritis /
polyarthritis) |
Inflammation
(Neutrophilia)
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Infectious
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- Septic arthritis
- Tuberculosis arthritis
- Reactive arthritis (indirectly)
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Noninfectious
|
- Seronegative spondyloarthropathy: Reactive arthritis
- Psoriatic arthritis
- Rheumatoid arthritis: Juvenile idiopathic arthritis
- Adult-onset Still's disease
- Felty's syndrome
- Crystal arthropathy: Gout
- Chondrocalcinosis
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Noninflammatory
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- Osteoarthritis: Heberden's node
- Bouchard's nodes
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Other |
- hemorrhage
- pain
- Osteophyte
- villonodular synovitis
- Pigmented villonodular synovitis
- Joint stiffness
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noco (arth/defr/back/soft)/cong, sysi/epon, injr
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UpToDate Contents
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English Journal
- Biologics-induced autoimmune renal disorders in chronic inflammatory rheumatic diseases: Systematic literature review and analysis of a monocentric cohort.
- Piga M1, Chessa E2, Ibba V2, Mura V2, Floris A2, Cauli A2, Mathieu A2.
- Autoimmunity reviews.Autoimmun Rev.2014 Aug;13(8):873-879. doi: 10.1016/j.autrev.2014.05.005. Epub 2014 May 16.
- The use of biologic drugs has been linked with the paradoxical development of systemic and organ specific autoimmune processes. The aim of this study was to describe the features of biologics-induced autoimmune renal disorders (AIRD) through a systematic review and a cohort study of 707 adult patien
- PMID 24840285
- Depression as a Comorbidity in Behçet's Syndrome.
- de Oliveira Ribeiro NP, de Mello Schier AR, Pessoa TM, Pereira VM, Machado S, Arias-Carrión O, Nardi AE, Silva AC1.
- CNS & neurological disorders drug targets.CNS Neurol Disord Drug Targets.2014 Jun 12. [Epub ahead of print]
- Behçet's syndrome (BD) is a controversial, chronic, and episodic condition that is autoimmune in origin and causes systemic vasculitis in the arteries and genital veins. BD is consistently associated with depression [1,2], with an incidence of 86% upon the first appearance of symptoms and disorders
- PMID 24923340
- Antineutrophil cytoplasm antibody: Positivity and clinical correlation.
- Martínez Téllez G1, Torres Rives B2, Rangel Velázquez S2, Sánchez Rodríguez V2, Ramos Ríos MA2, Fuentes Smith LE3.
- Reumatologia clinica.Reumatol Clin.2014 Jun 6. pii: S1699-258X(14)00057-6. doi: 10.1016/j.reuma.2014.02.010. [Epub ahead of print]
- OBJECTIVE: To determine positivity and clinical correlation of anti-neutrophil cytoplasmic antibodies (ANCA), taking into account the interference of antinuclear antibodies (ANA).MATERIAL AND METHODS: A prospective study was conducted in the Laboratory of Immunology of the National Cuban Center of M
- PMID 24913965
Japanese Journal
- 症例 リウマトイド血管炎により小腸梗塞とその後に小腸穿孔をきたした1例
Related Links
- First Description Who gets Rheumatoid Vasculitis (the “typical” patients)? Classic symptoms of Rheumatoid Vasculitis What causes Rheumatoid Vasculitis? How is Rheumatoid Vasculitis diagnosed? Treatment and Course of ...
- rheumatoid vasculitis A necrotizing vasculitis affecting a subset of Pts with rheumatoid arthritis Clinical Mononeuritis multiplex, GI involvement–infarction, ulceration, perforation, colitis, stricture formation, hemorrhage, skin ...
- The Vasculitis Foundation encourages vasculitis patients to seek expert medical care for diagnosis and treatment of the disease. The VF works closely with vasculitis experts and centers around the world to ensure patients have ...
Related Pictures
![Rheumatoid Vasculitis Photos](https://1mg.info/0/1/y/1792.jpg)
![rheumatoid vasculitis](https://1mg.info/0/1/y/1793.jpg)
![ulcerations in rheumatoid vasculitis](https://1mg.info/0/1/y/1794.jpg)
![> Rheumatoid Arthritis: Vasculitis, Skin](https://1mg.info/0/1/y/1795.jpg)
![Vasculitis, Rheumatoid](https://1mg.info/0/1/y/1796.jpg)
★リンクテーブル★
[★]
- 英
- angiitis
- 関
- 脈管炎 vasculitis vasculitides、血管内膜炎、血管炎症候群
分類
- CHCC2012
参考
- 血管炎症候群 - 日本内科学会雑誌第103巻第10号
- http://www.j-circ.or.jp/guideline/pdf/JCS2008_ozaki_h.pdf
- 血管炎・血管障害診療ガイドライン 2016 年改訂版 - 日本皮膚科学会
- https://www.dermatol.or.jp/uploads/uploads/files/vasculitisGL.pdf
[★]
- 英
- malignant rheumatoid arthritis MRA
- 同
- 悪性リウマチ
- 関
- 関節リウマチ
概念
診断基準
- (2)
臨床症状
- (1) 多発性神経炎:知覚障害,運動障害いずれを伴ってもよい。
- (2) 皮膚潰瘍又は梗塞又は指趾壊疽:感染や外傷によるものは含まない。
- (3) 皮下結節:骨突起部,伸側表面もしくは関節近傍にみられる皮下結節。
- (4) 上強膜炎又は虹彩炎:眼科的に確認され,他の原因によるものは含まない。
- (5) 滲出性胸膜炎又は心嚢炎:感染症など,他の原因によるものは含まない。癒着のみの所見は陽性にとらない。
- (6) 心筋炎:臨床所見,炎症反応,筋原性酵素,心電図,心エコーなどにより診断されたものを陽性とする。
- (7) 間質性肺炎又は肺線維症:理学的所見,胸部X 線,肺機能検査により確認されたものとし,病変の広がりは問わない。
- (8) 臓器梗塞:血管炎による虚血,壊死に起因した腸管,心筋,肺などの臓器梗塞。
- (9) リウマトイド因子高値:2 回以上の検査で,RAHA ないしRAPA テスト2,560 倍以上(RF960IU/m ・以上)の高値を示すこと。
- (10) 血清低補体価又は血中免疫複合体陽性:2 回以上の検査で,C3,C4 などの血清補体成分の低下又はCH50 による補体活性化の低下をみること,又は2 回以上の検査で血中免疫複合体陽性(C1q 結合能を基準とする)をみること。
組織所見
- 皮膚,筋,神経,その他の臓器の生検により小なし中動脈壊死性血管炎,肉芽腫性血管炎ないしは閉塞性内膜炎を認めること。
判定基準
- 関節リウマチの診断基準(アメリカリウマチ協会の1987 年改定基準(表1))を満たし,上記に掲げる項目の中で以下の基準にあてはまるもの
- (1) 1 臨床症状(1)~(10)のうち3項目以上満たすもの,又は
- (2) 1 臨床症状(1)~(10)の項目の1項目以上と2 組織所見の項目があるもの,
参考
- http://www.nanbyou.or.jp/sikkan/003_i.htm
- http://www.nanbyou.or.jp/pdf/003_s.pdf
- 3. [charged]Clinical manifestations and diagnosis of rheumatoid vasculitis - uptodate [1]
[★]
- 関
- rheumatic、rheumatism