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Critical Situations |

Purple Toes in a Patient With End-Stage Rheumatoid Arthritis

Hossein C. Nousari, MD; Arash Kimyai-Asadi, MD; Justin Stebbing, MD, MRCP; John H. Stone, MD, MPH
Arch Dermatol. 1999;135(6):648-650. doi:10.1001/archderm.135.6.648.
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Voskuyl  AEZwinderman  AHWestedt  MLVanderbroucke  JPBreedveld  FCHazes  JM Factors associated with the development of vasculitis in rheumatoid arthritis: results of a case-control study. Ann Rheum Dis. 1996;55190- 192
Link to Article[[XSLOpenURL/10.1136/ard.55.3.190]]
Jorizzo  JLDaniels  JC Dermatologic conditions reported in patients with rheumatoid arthritis. J Am Acad Dermatol. 1983;8439- 453
Link to Article[[XSLOpenURL/10.1016/S0190-9622(83)70049-6]]
Vollertsen  RSConn  DL Vasculitis associated with rheumatoid arthritis. Rheum Dis Clin North Am. 1990;16445- 461
Voskuyl  AEvan Duinen  SGZwinderman  AHBreedveld  FCHazes  JM The diagnostic value of perivascular infiltrates in muscle biopsy specimens for the assessment of rheumatoid vasculitis. Ann Rheum Dis. 1998;57114- 117
Link to Article[[XSLOpenURL/10.1136/ard.57.2.114]]
Naschitz  JEYeshurun  DScharf  YSajrawi  ILazarov  NBBoss  JH Recurrent massive alveolar hemorrhage, crescentic glomerulonephritis, and necrotizing vasculitis in a patient with rheumatoid arthritis. Arch Intern Med. 1989;149406- 408
Link to Article[[XSLOpenURL/10.1001/archinte.1989.00390020110023]]
Achkar  AAStanson  AWJohnson  CMSrivatsa  SSDale  LCWeyand  CM Rheumatoid vasculitis manifesting as intra-abdominal hemorrhage. Mayo Clin Proc. 1995;70565- 569
Link to Article[[XSLOpenURL/10.4065/70.6.565]]
Stebbing  J The cholesterol emboli syndrome. Br J Clin Pract. 1995;49130
Falanga  VFine  MJKapoor  WN The cutaneous manifestations of cholesterol crystal embolization. Arch Dermatol. 1986;1221194- 1198
Link to Article[[XSLOpenURL/10.1001/archderm.1986.01660220112024]]
Sigal  LHFriedman  HD Rheumatoid pancarditis in a patient with well controlled rheumatoid arthritis. J Rheumatol. 1989;16368- 373
Sais  GVidaller  AJucjla  AJucgla  ACondom  EPeyri  J Adhesion molecule expression and endothelial cell activation in cutaneous vasculitis: an immunohistologic and clinical study in 42 patients. Arch Dermatol. 1997;133443- 450
Link to Article[[XSLOpenURL/10.1001/archderm.1997.03890400041006]]
Zax  RHHodge  SJCallen  JP Cutaneous leukocytoclastic vasculitis: serial histopathologic evaluation demonstrates the dynamic nature of the infiltrate. Arch Dermatol. 1990;12669- 72
Link to Article[[XSLOpenURL/10.1001/archderm.1990.01670250075012]]
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Figures

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Figure 1.

The patient's hand, demonstrating end-stage rheumatoid arthritis.

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Figure 2.

Ischemic toes seen at the time of admission.

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Figure 3.

Biopsy specimen of the gastrocnemius muscle showing a necrotizing vasculitis.

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