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Recurrent Stenosis of the Ileum Caused by Rheumatoid Vasculitis

A 65-year-old man with a 20-year history of rheumatoid arthritis was transferred to our hospital due to a second episode of intestinal obstruction, a fever, and joint pain within the previous 6 months. He had an extremely high rheumatoid factor level and decreased complement levels. Abdominal comput...

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Published in:	Internal Medicine 2016, Vol.55(7), pp.819-823
Main Authors:	Tago, Masaki, Naito, Yuka, Aihara, Hiroki, Furukawa, Naoko E., Yamashita, Shu-ichi
Format:	Article
Language:	English
Subjects:	Aged Arthritis, Rheumatoid - complications Constriction, Pathologic - etiology Constriction, Pathologic - surgery Endoscopy, Gastrointestinal Humans Ileum - pathology Ileum - surgery Intestinal Obstruction - etiology Intestinal Obstruction - surgery low complement value Male Methotrexate - therapeutic use Prednisolone - therapeutic use recurrent intestinal obstruction Rheumatoid Factor - blood rheumatoid vasculitis Rheumatoid Vasculitis - drug therapy Rheumatoid Vasculitis - physiopathology stenosis of ileum
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creator	Tago, Masaki Naito, Yuka Aihara, Hiroki Furukawa, Naoko E. Yamashita, Shu-ichi
description	A 65-year-old man with a 20-year history of rheumatoid arthritis was transferred to our hospital due to a second episode of intestinal obstruction, a fever, and joint pain within the previous 6 months. He had an extremely high rheumatoid factor level and decreased complement levels. Abdominal computed tomography, a small bowel series, and small intestinal endoscopy revealed severe ileal stenosis. Resection of the stenotic lesion was performed, and a histopathological examination revealed vasculitis. Rheumatoid vasculitis was diagnosed, and the patient began treatment with prednisolone and methotrexate, which improved his condition. Rheumatoid vasculitis is a rare, but possible cause of recurrent bowel obstruction.
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subjects	Aged Arthritis, Rheumatoid - complications Constriction, Pathologic - etiology Constriction, Pathologic - surgery Endoscopy, Gastrointestinal Humans Ileum - pathology Ileum - surgery Intestinal Obstruction - etiology Intestinal Obstruction - surgery low complement value Male Methotrexate - therapeutic use Prednisolone - therapeutic use recurrent intestinal obstruction Rheumatoid Factor - blood rheumatoid vasculitis Rheumatoid Vasculitis - drug therapy Rheumatoid Vasculitis - physiopathology stenosis of ileum
title	Recurrent Stenosis of the Ileum Caused by Rheumatoid Vasculitis
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