Medicine Matters rheumatology

Tekin et al. report the case of a previously healthy 16-year-old girl with an acquired angioedema as a rare and initial presentation of systemic lupus erythematosus, and review the related literature.

Tekin ZE, Yener GO, Yüksel S. Rheumatol Int 2018. doi: 10.1007/s00296-018-4088-z

The authors report a rare case of incomplete Kawasaki disease in a neonate, where timely intravenous immunoglobulin administration resulted in clinical improvement and may have prevented cardiac complications.

Altammar F, Lang B. Pediatr Rheumatol 2018; 16: 43. doi: 10.1186/s12969-018-0263-8

The authors describe four patients with chronic gout who were successfully managed with pegloticase and were retreated following a gap in therapy.

Morton AH, Hosey T, LaMoreaux B. Rheumatol Ther 2018; Advance online publication. doi: 10.1007/s40744-018-0111-9

Zhu et al report the case of a 34-year-old female patient with systemic sclerosis-rheumatoid arthritis overlap syndrome which has been complicated with Sweet’s syndrome.

Zhu T et al. Clin Rheumatol 2018. doi: 10.1007/s10067-018-4150-y

This authors use this complex case to illustrate the inherent diagnostic difficulty in evaluating patients with suspected, even confirmed, central nervous system vasculitis.

Parent ME, Richer M, Liang P. Clin Rheumatol 2018; Advance online publication.  doi: 10.1007/s10067-018-4136-9

The authors present a rare case of sporadic chronic recurrent multifocal osteomyelitis in which the patient eventually developed cytoplasmic anti-neutrophil cytoplasmic antibodies-associated renal vasculitis and hyperparathyroidism.

Snipaitiene A et al. Pediatr Rheumatol 2018; 16: 49. doi: 10.1186/s12969-018-0267-4

A 67-year-old Caucasian man presented with a 4-week history of malaise, fever, and mild occipital headaches. There were no other positive findings on physical examination. How should physicians approach this case?

Tan BL, Liu JJ, Yong TY, Tan CC, Li JY. J Med Case Rep 2016; 10: 179; doi:10.1186/s13256-016-0971-y

A 37-year-old female presented with psoriatic arthritis recalcitrant to two tumor necrosis factor inhibitors. Learn how the physicians improved both the musculoskeletal and skin symptoms for this challenging case.

Pelechas E, Memi T, Voulgari PV, Drosos AA. Rheumatol Ther 2017. doi:10.1007/s40744-017-0084-0

A 50-year-old male presented with weakness in his upper and lower limbs that had been getting progressively worse. He was previously diagnosed with anyklosing spondylitis 5 years ago. Read how the physicians handled this case.

Psarelis S, Hajineocli APD, Hadjicosta E, Elliott HSA, Johnson P. Clin Rheumatol 2017; 36: 1197–1199. doi:10.1007/s10067-017-3573-1

The authors report the case of a 65-year-old male patient with chronic tophaceous gout refractory to conventional therapies who responded to treatment with canakinumab.

Marotto D et al. Rheumatol Ther 2018; Advance online publication. doi: 10.1007/s40744-018-0104-8