Cutaneous Manifestations of Rheumatoid Arthritis: Diagnosis and Treatment

Rheumatoid arthritis (RA) is a chronic, systemic autoimmune disorder characterized by inflammatory arthritis and periarticular structural damage. Available evidence suggests that RA results from complex interactions between genetic susceptibility (e.g., HLA-DRB1), environmental factors (e.g., smokin...

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Main Authors: Michael J. Diaz, Nicole Natarelli, Aria Wei, Michaela Rechdan, Elizabeth Botto, Jasmine T. Tran, Mahtab Forouzandeh, Jose A. Plaza, Benjamin H. Kaffenberger
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/13/10/1479
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author Michael J. Diaz
Nicole Natarelli
Aria Wei
Michaela Rechdan
Elizabeth Botto
Jasmine T. Tran
Mahtab Forouzandeh
Jose A. Plaza
Benjamin H. Kaffenberger
author_facet Michael J. Diaz
Nicole Natarelli
Aria Wei
Michaela Rechdan
Elizabeth Botto
Jasmine T. Tran
Mahtab Forouzandeh
Jose A. Plaza
Benjamin H. Kaffenberger
author_sort Michael J. Diaz
collection DOAJ
description Rheumatoid arthritis (RA) is a chronic, systemic autoimmune disorder characterized by inflammatory arthritis and periarticular structural damage. Available evidence suggests that RA results from complex interactions between genetic susceptibility (e.g., HLA-DRB1), environmental factors (e.g., smoking), and immune dysregulation. Alongside joint-related symptoms, individuals with RA may also experience a wide array of skin issues, including the development of nodules, neutrophilic dermatoses, vasculitis, and vasculopathy. Treatment strategies for these manifestations vary but routinely involve corticosteroids, disease-modifying anti-rheumatic drugs, and biologics, with individualized approaches guided by disease severity. In this review, we provide comprehensive insights into the skin-related issues associated with RA, outlining their clinical characteristics and histopathological findings. Our aim is to facilitate early diagnosis and personalized treatment to improve the quality of life of affected individuals.
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spelling doaj.art-4384b9bc4d604088ada0d4b997df3d812023-11-19T17:02:13ZengMDPI AGJournal of Personalized Medicine2075-44262023-10-011310147910.3390/jpm13101479Cutaneous Manifestations of Rheumatoid Arthritis: Diagnosis and TreatmentMichael J. Diaz0Nicole Natarelli1Aria Wei2Michaela Rechdan3Elizabeth Botto4Jasmine T. Tran5Mahtab Forouzandeh6Jose A. Plaza7Benjamin H. Kaffenberger8College of Medicine, University of Florida, Gainesville, FL 32610, USAMorsani College of Medicine, University of South Florida, Tampa, FL 33602, USASchool of Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USACollege of Medicine, University of Florida, Gainesville, FL 32610, USAMorsani College of Medicine, University of South Florida, Tampa, FL 33602, USASchool of Medicine, Indiana University, Indianapolis, IN 46202, USADepartment of Dermatology, University of Florida, Gainesville, FL 32606, USADepartment of Dermatology, Ohio State University Wexner Medical Center, Columbus, OH 43221, USADepartment of Dermatology, Ohio State University Wexner Medical Center, Columbus, OH 43221, USARheumatoid arthritis (RA) is a chronic, systemic autoimmune disorder characterized by inflammatory arthritis and periarticular structural damage. Available evidence suggests that RA results from complex interactions between genetic susceptibility (e.g., HLA-DRB1), environmental factors (e.g., smoking), and immune dysregulation. Alongside joint-related symptoms, individuals with RA may also experience a wide array of skin issues, including the development of nodules, neutrophilic dermatoses, vasculitis, and vasculopathy. Treatment strategies for these manifestations vary but routinely involve corticosteroids, disease-modifying anti-rheumatic drugs, and biologics, with individualized approaches guided by disease severity. In this review, we provide comprehensive insights into the skin-related issues associated with RA, outlining their clinical characteristics and histopathological findings. Our aim is to facilitate early diagnosis and personalized treatment to improve the quality of life of affected individuals.https://www.mdpi.com/2075-4426/13/10/1479rheumatoid arthritiscutaneous manifestationsvasculopathiesrheumatoid nodulesneutrophilic dermatosessweet syndrome
spellingShingle Michael J. Diaz
Nicole Natarelli
Aria Wei
Michaela Rechdan
Elizabeth Botto
Jasmine T. Tran
Mahtab Forouzandeh
Jose A. Plaza
Benjamin H. Kaffenberger
Cutaneous Manifestations of Rheumatoid Arthritis: Diagnosis and Treatment
Journal of Personalized Medicine
rheumatoid arthritis
cutaneous manifestations
vasculopathies
rheumatoid nodules
neutrophilic dermatoses
sweet syndrome
title Cutaneous Manifestations of Rheumatoid Arthritis: Diagnosis and Treatment
title_full Cutaneous Manifestations of Rheumatoid Arthritis: Diagnosis and Treatment
title_fullStr Cutaneous Manifestations of Rheumatoid Arthritis: Diagnosis and Treatment
title_full_unstemmed Cutaneous Manifestations of Rheumatoid Arthritis: Diagnosis and Treatment
title_short Cutaneous Manifestations of Rheumatoid Arthritis: Diagnosis and Treatment
title_sort cutaneous manifestations of rheumatoid arthritis diagnosis and treatment
topic rheumatoid arthritis
cutaneous manifestations
vasculopathies
rheumatoid nodules
neutrophilic dermatoses
sweet syndrome
url https://www.mdpi.com/2075-4426/13/10/1479
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AT mahtabforouzandeh cutaneousmanifestationsofrheumatoidarthritisdiagnosisandtreatment
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