A 49-year-old man presented at a hospital with an arthritic flare-up and stress dyspnea with a cough. He had a 5-year history of symmetrical polyarthritis, for which he was prescribed 5-15 mg prednisolone daily. He was subsequently diagnosed with rheumatoid arthritis and prescribed 20 mg methotrexate weekly, 3 mg/kg ciclosporin daily and 5 mg prednisolone daily. Infliximab therapy was initiated after 3 months because of persistent joint pain and inflammation. Six months later, however, the patient was readmitted to hospital with a new arthritic flare-up, acute retrosternal chest pain and stress dyspnea.

Lupus anticoagulant and ischemic myocardial microangiopathy in rheumatoid arthritis

De Santis, Maria;
2006-01-01

Abstract

A 49-year-old man presented at a hospital with an arthritic flare-up and stress dyspnea with a cough. He had a 5-year history of symmetrical polyarthritis, for which he was prescribed 5-15 mg prednisolone daily. He was subsequently diagnosed with rheumatoid arthritis and prescribed 20 mg methotrexate weekly, 3 mg/kg ciclosporin daily and 5 mg prednisolone daily. Infliximab therapy was initiated after 3 months because of persistent joint pain and inflammation. Six months later, however, the patient was readmitted to hospital with a new arthritic flare-up, acute retrosternal chest pain and stress dyspnea.
2006
Antirheumatic Agents
Arthritis, Rheumatoid
Aspirin
Clopidogrel
Echocardiography
Humans
Interleukin 1 Receptor Antagonist Protein
Lupus Coagulation Inhibitor
Male
Methotrexate
Middle Aged
Myocardial Ischemia
Platelet Aggregation Inhibitors
Prednisolone
Radionuclide Imaging
Sialoglycoproteins
Ticlopidine
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11699/68416
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