Title |
Rheumatoid arthritis and pseudo-vesicular skin plaques: rheumatoid neutrophilic dermatosis*
|
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Published in |
Anais Brasileiros de Dermatologia, January 2016
|
DOI | 10.1590/abd1806-4841.20164104 |
Pubmed ID | |
Authors |
Juan Manriquez, Laura Giesen, Constanza del Puerto, Sergio Gonzalez |
Abstract |
A 54 year-old woman with a 3-year history of rheumatoid arthritis (RA) consulted us because of weight loss, fever and skin eruption. On physical examination, erythematous plaques with a pseudo-vesicular appearance were seen on the back of both shoulders. Histological examination was consistent with rheumatoid neutrophilic dermatosis (RND). After 3 days of prednisone treatment, the skin eruption resolved. RND is a rare cutaneous manifestation of seropositive RA, characterized by asymptomatic, symmetrical erythematous plaques with a pseudo-vesicular appearance. Histology characteristically reveals a dense, neutrophilic infiltrate with leucocitoclasis but without other signs of vasculitis. Lesions may resolve spontaneously or with RA treatment. This case illustrates an uncommon skin manifestation of active rheumatoid arthritis. |
X Demographics
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United Kingdom | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 16 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 3 | 19% |
Student > Bachelor | 2 | 13% |
Student > Postgraduate | 2 | 13% |
Student > Master | 2 | 13% |
Student > Doctoral Student | 1 | 6% |
Other | 4 | 25% |
Unknown | 2 | 13% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 7 | 44% |
Arts and Humanities | 1 | 6% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 6% |
Unspecified | 1 | 6% |
Psychology | 1 | 6% |
Other | 1 | 6% |
Unknown | 4 | 25% |