Response to Rituximab in a Case of Lupus Associated Digital Ischemia

We report the case of a 38-year-old female patient with systemic lupus erythematosus (SLE) and Jaccoud arthritis (JA) that sequentially developed digital ischemic lesions of the hands. In spite of follow-up treatment with glucocorticoids, immunosuppressant, antiaggregant, and potent vasodilatator ag...

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Main Authors: Orhan Küçükşahin, Nurşen Düzgün, Alexis K. Okoh, Emre Kulahçioglu
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2014/763608
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author Orhan Küçükşahin
Nurşen Düzgün
Alexis K. Okoh
Emre Kulahçioglu
author_facet Orhan Küçükşahin
Nurşen Düzgün
Alexis K. Okoh
Emre Kulahçioglu
author_sort Orhan Küçükşahin
collection DOAJ
description We report the case of a 38-year-old female patient with systemic lupus erythematosus (SLE) and Jaccoud arthritis (JA) that sequentially developed digital ischemic lesions of the hands. In spite of follow-up treatment with glucocorticoids, immunosuppressant, antiaggregant, and potent vasodilatator agents, a serious progression to digital gangrene over a one-month period was observed. Surprisingly, her nonhealing digital lesions improved after two cycles of rituximab (RTX) administration.
format Article
id doaj-art-d657ebadde9f4bd990fd35cdba852550
institution OA Journals
issn 2090-6889
2090-6897
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Rheumatology
spelling doaj-art-d657ebadde9f4bd990fd35cdba8525502025-08-20T02:19:40ZengWileyCase Reports in Rheumatology2090-68892090-68972014-01-01201410.1155/2014/763608763608Response to Rituximab in a Case of Lupus Associated Digital IschemiaOrhan Küçükşahin0Nurşen Düzgün1Alexis K. Okoh2Emre Kulahçioglu3Department of Rheumatology, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyDepartment of Rheumatology, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyDepartment of Internal Medicine, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyDepartment of Internal Medicine, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyWe report the case of a 38-year-old female patient with systemic lupus erythematosus (SLE) and Jaccoud arthritis (JA) that sequentially developed digital ischemic lesions of the hands. In spite of follow-up treatment with glucocorticoids, immunosuppressant, antiaggregant, and potent vasodilatator agents, a serious progression to digital gangrene over a one-month period was observed. Surprisingly, her nonhealing digital lesions improved after two cycles of rituximab (RTX) administration.http://dx.doi.org/10.1155/2014/763608
spellingShingle Orhan Küçükşahin
Nurşen Düzgün
Alexis K. Okoh
Emre Kulahçioglu
Response to Rituximab in a Case of Lupus Associated Digital Ischemia
Case Reports in Rheumatology
title Response to Rituximab in a Case of Lupus Associated Digital Ischemia
title_full Response to Rituximab in a Case of Lupus Associated Digital Ischemia
title_fullStr Response to Rituximab in a Case of Lupus Associated Digital Ischemia
title_full_unstemmed Response to Rituximab in a Case of Lupus Associated Digital Ischemia
title_short Response to Rituximab in a Case of Lupus Associated Digital Ischemia
title_sort response to rituximab in a case of lupus associated digital ischemia
url http://dx.doi.org/10.1155/2014/763608
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AT emrekulahcioglu responsetorituximabinacaseoflupusassociateddigitalischemia