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Intracranial Hemorrhage With Vasculitis in Rheumatoid Arthritis

Intracranial Hemorrhage With Vasculitis in Rheumatoid Arthritis Abstract To the Editor.— Edwards has described two patients with intracranial hemorrhage occurring with cerebral arteritis (Arch Neurol 34:549-555, 1977). One of these cases was a subarachnoid hemorrhage secondary to amphetamine-induced necrotizing angitis. The second was an intracerebral hematoma in association with intracranial arteritis and anticoagulant therapy in a patient with ulcerative colitis. They pointed out that intracranial hemorrhage with cerebral vasculitis is not well recognized. We published a case in the context of CNS vasculitis in rheumatoid disease,1 itself a rare entity in the literature. The hemorrhagic aspect of the vasculitis was not considered a remarkable feature in that report. In our case, four separate areas of the brain were involved by hemorrhage at at least two different times. The symmetry is remarkable. A review of the eight cases of CNS vasculitis in rheumatoid arthritis1-7 shows that in only one of these did hemorrhage occur.5 In this instance (case References 1. Watson P, Fekete J, Deck J: Central nervous system vasculitis in rheumatoid arthritis . Can J Neurol Sci 4:269-272, 1977. 2. Pirani CL, Bennett GA: Rheumatoid arthritis: A report of three cases progressing from childhood and emphasizing certain systemic manifestations . Bull Hosp Joint Dis 12:335-367, 1951. 3. Sokoloff L, Bunim JJ: Vascular lesions in rheumatoid arthritis . J Chronic Dis 5:668-687, 1957.Crossref 4. Johnson RL, Smyth CJ, Holt GW: Steroid therapy and vascular lesions in rheumatoid arthritis . Arthritis Rheum 2:224-249, 1959.Crossref 5. Steiner JW, Gellbloom AJ: Intracranial manifestations in two cases of systemic rheumatoid disease . Arthritis Rheum 2:537-545, 1959.Crossref 6. Ouyang R, Michell DM, Rozdilsky B: Central nervous system involvement in rheumatoid disease: Report of a case . Neurology 17:1099-1105, 1967.Crossref 7. Ramos M, Mandybur TI: Cerebral vasculitis in rheumatoid arthritis . Arch Neurol 32:271-275, 1975.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Intracranial Hemorrhage With Vasculitis in Rheumatoid Arthritis

Archives of Neurology , Volume 36 (1) – Jan 1, 1979

Intracranial Hemorrhage With Vasculitis in Rheumatoid Arthritis

Abstract

Abstract To the Editor.— Edwards has described two patients with intracranial hemorrhage occurring with cerebral arteritis (Arch Neurol 34:549-555, 1977). One of these cases was a subarachnoid hemorrhage secondary to amphetamine-induced necrotizing angitis. The second was an intracerebral hematoma in association with intracranial arteritis and anticoagulant therapy in a patient with ulcerative colitis. They pointed out that intracranial hemorrhage with cerebral vasculitis is not well...
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Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1979.00500370088026
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Edwards has described two patients with intracranial hemorrhage occurring with cerebral arteritis (Arch Neurol 34:549-555, 1977). One of these cases was a subarachnoid hemorrhage secondary to amphetamine-induced necrotizing angitis. The second was an intracerebral hematoma in association with intracranial arteritis and anticoagulant therapy in a patient with ulcerative colitis. They pointed out that intracranial hemorrhage with cerebral vasculitis is not well recognized. We published a case in the context of CNS vasculitis in rheumatoid disease,1 itself a rare entity in the literature. The hemorrhagic aspect of the vasculitis was not considered a remarkable feature in that report. In our case, four separate areas of the brain were involved by hemorrhage at at least two different times. The symmetry is remarkable. A review of the eight cases of CNS vasculitis in rheumatoid arthritis1-7 shows that in only one of these did hemorrhage occur.5 In this instance (case References 1. Watson P, Fekete J, Deck J: Central nervous system vasculitis in rheumatoid arthritis . Can J Neurol Sci 4:269-272, 1977. 2. Pirani CL, Bennett GA: Rheumatoid arthritis: A report of three cases progressing from childhood and emphasizing certain systemic manifestations . Bull Hosp Joint Dis 12:335-367, 1951. 3. Sokoloff L, Bunim JJ: Vascular lesions in rheumatoid arthritis . J Chronic Dis 5:668-687, 1957.Crossref 4. Johnson RL, Smyth CJ, Holt GW: Steroid therapy and vascular lesions in rheumatoid arthritis . Arthritis Rheum 2:224-249, 1959.Crossref 5. Steiner JW, Gellbloom AJ: Intracranial manifestations in two cases of systemic rheumatoid disease . Arthritis Rheum 2:537-545, 1959.Crossref 6. Ouyang R, Michell DM, Rozdilsky B: Central nervous system involvement in rheumatoid disease: Report of a case . Neurology 17:1099-1105, 1967.Crossref 7. Ramos M, Mandybur TI: Cerebral vasculitis in rheumatoid arthritis . Arch Neurol 32:271-275, 1975.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Jan 1, 1979

References

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