ANCA-associated vasculitis can present with episodic attacks of joint pain consistent with palindromic rheumatism. Issue 4 (1st April 2021) - Rutter-Locher, Zoe
Abstract : A 64-year-old man with a 2-year history of palindromic rheumatoid arthritis, presented with recurrent flares of arthritis, weight loss, new onset Raynaud's phenomenon and one previous episode of small-volume haemoptysis. Investigations, including renal biopsy, revealed antineutrophil cytoplasmic antibodies-mediated vasculitis. This case highlights the need to consider vasculitis in patients in whom there is an atypical history of arthritis.