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Rheumatology 2003; 42: 907-909
© 2003 British Society for Rheumatology

Letters to the Editor

Rheumatoid vasculitis following influenza vaccination

P. Iyngkaran, V. Limaye, C. Hill, D. Henderson, K. D. Pile and M. Rischmueller

Department of Rheumatology, The Queen Elizabeth Hospital, Woodville, South Australia 5011, Australia

The first 10% of the full text of this article appears below.

SIR, Yearly influenza vaccination is currently recommended for patients with rheumatoid arthritis (RA) [1]. Case reports, however, suggest an association between influenza vaccination and the development or exacerbation of chronic autoimmune disorders such as RA, systemic lupus erythematosus (SLE) [2] and vasculitis [3–5].

We describe a case of systemic flare of pre-existing RA concurrent with the first onset of cutaneous vasculitis following influenza vaccination.

A 29-yr-old female smoker with a 12-yr history of seropositive erosive RA presented with a polyarticular flare in addition to burning pain and bluish discoloration of the tips of several fingers and toes. Two weeks prior to the onset of symptoms she received Fluvax (CSL Limited, . . . [Full Text of this Article]


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