A case of new-onset rheumatoid vasculitis becoming evident in the course of treatment for <i>Pneumocystis jirovecii</i> pneumonia

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  • IKUMA Daisuke
    Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University
  • YOKOTA Kazuhiro
    Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University
  • SATO Kojiro
    Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University
  • MIMURA Toshihide
    Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University

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<p>  When patients with autoimmune diseases, such as rheumatoid arthritis (RA), are treated with potent immunosuppressive therapy, the risk of opportunistic diseases inevitably increases. If patients have the misfortune to suffer from both opportunistic and active autoimmune diseases, correct diagnosis could sometimes be difficult since both diseases have inflammatory nature. The choice of treatment is another challenge in that aggressive immunosuppressive therapy can fuel the opportunistic infection. Here we report a case of RA patient with new onset rheumatoid vasculitis that was diagnosed in the process of treatment of Pneumocystis jirovecii pneumonia.</p>

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