Journal of Clinical Rheumatology Research(JCRR)

American University of the Caribbean School of Medicine, USA

Publications

• Case Report   
  Optimal Treatment Strategies for Chronic Cutaneous Vasculitis with Concurrent IGA Monoclonal Gammopathy: A Case Report
  Author(s): Andres D. Parga*, Elizabeth George and Donald Rudikoff
  
  This case report investigates the complex presentation and management of a 61-year-old female patient with bilateral leg ulcerations, ultimately diagnosed with cutaneous vasculitis and concurrent IgA monoclonal gammopathy, classified as monoclonal gammopathy of clinical significance (MGCS). MGCS refers to nonmalignant monoclonal gammopathies that cause significant disease, often manifesting with symptoms affecting the nerves, kidneys, and skin. Our patient exhibited chronic ulcerations and a challenging clinical course over four years, requiring extensive investigation and multiple therapeutic interventions. Initial treatments, including high-dose corticosteroids and rituximab, provided minimal to limited improvement. However, significant clinical response was observed following the administration of hydroxychloroquine and dapsone. This case underscores the importance of recognizing M.. Read More»
  

  Abstract HTML PDF