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Rheumatoid arthritis with systemic necrotizing arteritis.

F Koizumi·M Fukase·K Wakaki
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Abstract

An autopsy case of rheumatoid arthritis with active polyarthritis, systemic necrotizing arteritis, pleuritis, pericarditis, rheumatoid nodules in a few organs and a healing gastric ulcer was reported. Histologically, systemic necrotizing arteritis was characterized by vascular changes of the following three types: Granulomatous arteritis with a characteristic arrangement of mesenchymal cells forming a palisade around coagulation necrosis of media and some of them formed a rheumatoid nodule-like lesion in the wall (RA type); Fibrinoid arteritis very similar to the Kussmaul-Maier type periarteritis nodosa (PN type); and chronic arteritis with endarterial proliferation (Ep type). Although it is hard to distinguish arteritis of PN type from the Kussmaul-Maier type periarteritis nodosa, arteritis of RA type with rheumatoid nodule-like lesion in the wall may be interpreted as an extremely developed form of vasculitis in rheumatoid arthritis.

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ArteriesArteritisArthritis, RheumatoidHumansMaleMiddle AgedNecrosisPolyarteritis NodosaCase ReportsJournal Article

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BibTeXRIS

F Koizumi, M Fukase, K Wakaki. 1979. Rheumatoid arthritis with systemic necrotizing arteritis.. https://doi.org/10.1111/j.1440-1827.1979.tb00948.x

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