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Rheumatoid neutrophilic dermatitis


European Journal of Dermatology. Volume 8, Number 5, 347-9, July - August 1998, Cas cliniques

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Author(s) : Masako M. ICHIKAWA, Yasuko MURATA, Yuko HIGAKI, Makoto KAWASHIMA, Takefumi FURUYA, Takashi SAITO

Summary : Rheumatoid neutrophilic dermatitis (RND) is a rare disorder seen in patients with severe rheumatoid arthritis. We present a 63-year-old Japanese with seropositive rheumatoid arthritis and rheumatoid lung who showed ery-thematous plaques and papules with pustules on his extremities and but-tocks. Histological examination revealed a dense neutrophilic infiltration the upper dermis and neutrophilic abscesses in the dermal papillae. obvious vasculitis was seen. We suggest that RND could be included within the concept of a neutrophilic vascular reaction and that this condition develops through immune complex-mediated and neutrophil-induced vascular damage.

Keywords : neutrophilic vascular reaction, rheumatoid arthritis, rheumatoid neutrophilic dermatitis.)

 

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