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Review
. 2016 Oct;30(5):916-931.
doi: 10.1016/j.berh.2016.10.008. Epub 2016 Nov 9.

Vasculitis and inflammatory arthritis

Affiliations
Review

Vasculitis and inflammatory arthritis

Richard A Watts et al. Best Pract Res Clin Rheumatol. 2016 Oct.

Abstract

Vasculitis has been described in most types of inflammatory arthritis. The best described and most widely recognised form is rheumatoid vasculitis. The incidence of systemic rheumatoid vasculitis has declined significantly following the general early use of methotrexate in the 1990s, and it is now a rare form of vasculitis. Treatment of rheumatoid vasculitis is conventionally with glucocorticoids and cyclophosphamide, but there is an increasing role for rituximab similar to that in other types of vasculitis. Despite these developments the mortality of rheumatoid vasculitis remains high. Vasculitis in other types of inflammatory arthritis is less well described and the treatment remains empirical.

Keywords: Ankylosing spondylitis; Psoriatic arthritis; Rheumatoid arthritis; Vasculitis.

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