[An unusual association: panarteritis nodosa and rheumatoid arthritis as an overlapping collagenous syndrome].
The clinical record of a woman with two connective tissue diseases is presented. It started as a necrotizing arteritis with hepatic involvement and chronic multineuritis consistent with PAN. After a long period of clinical evolution the patient developed a real rheumatoid arthritis with positive RF. This clinical picture overlapped clinically and serologically the former one. A good response to the steroid therapy and a careful follow-up permitted a satisfactory life to this patient for about ten years.
Servicio de Medicina Interna, Fundación Jiménez Díaz, Madrid.
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Laín Martínez
D000328:Adult; D001172:Arthritis, Rheumatoid / Q000175:diagnosis* / Q000188:drug therapy; D001706:Biopsy; D003095:Collagen Diseases / Q000175:diagnosis* / Q000188:drug therapy; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D009460:Neurologic Examination; D010488:Polyarteritis Nodosa / Q000175:diagnosis* / Q000188:drug therapy; D013577:Syndrome
Una asociación excepcional: panarteritis nudosa y artritis reumatoide como síndrome colagenósico solapado.