An elusive case of digital ischemia in a patient with Rheumatoid Arthritis | Azam | Pakistan Journal of Medical Sciences
 
مبل راحتی صندلی مدیریتی صندلی اداری میز اداری وبلاگدهی گن لاغری بازی اندروید تبلیغات کلیکی آموزش زبان انگلیسی پاراگلایدر مارکت اندروید تور آهنگ محسن چاوشی مسیح و آرش پروتز سینه پروتز باسن پروتز لب میز تلویزیون

An elusive case of digital ischemia in a patient with Rheumatoid Arthritis

Waleed Azam, Uzma Erum, Asif Jan Muhammad

Abstract


Essential thrombocytosis (ET) has rarely been reported with autoimmune rheumatic disorders. We report a case of young female, diagnosed case of Rheumatoid arthritis (RA), who had been overlooked for her raised platelet counts. Later her symptoms of impending digital gangrene led to an active search for her thrombocytosis. JAK2 mutation came out to be positive and she was diagnosed as ET associated with RA. She was treated with Hydroxyurea and Aspirin, in addition to her RA treatment. Patient responded well to the treatment and her platelet counts have been gradually improved, however, she developed gangrene of toe, for which amputation of distal phalanx of toe and nail excision was done, later in the disease course.

doi: https://doi.org/10.12669/pjms.344.15281

How to cite this:Azam W, Erum U, Muhammad AJ. An elusive case of digital ischemia in a patient with Rheumatoid Arthritis. Pak J Med Sci. 2018;34(4):1024-1026.   doi: https://doi.org/10.12669/pjms.344.15281

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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