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She underwent successful coil embolisation and stabilisation through multidisciplinary management. Laboratory and imaging findings supported a diagnosis of RV. This case highlights the importance of recognising vascular involvement in RA and highlights the need for timely imaging in patients with systemic symptoms and unexplained anaemia. Early detection and coordinated care are vital to improving outcomes in such high-risk presentations.<\/jats:p>","DOI":"10.1136\/bcr-2025-266743","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T21:30:26Z","timestamp":1751405426000},"page":"e266743","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rheumatoid vasculitis with multianeurysmal bleeding and thrombosis in a patient with long-standing rheumatoid arthritis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2395-6315","authenticated-orcid":false,"given":"Sujatha","family":"Baddam","sequence":"first","affiliation":[{"name":"Internal Medicine, Huntsville Hospital Health System, Madison, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siddharth","family":"Patel","sequence":"additional","affiliation":[{"name":"Internal Medicine, Decatur Morgan Hospital, Decatur, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navkirat","family":"Kahlon","sequence":"additional","affiliation":[{"name":"Medical Oncology, Wentworth-Douglass Hospital, Dover, New Hampshire, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Muttineni","sequence":"additional","affiliation":[{"name":"Huntsville Hospital Health System, Huntsville, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mrudula","family":"Thiriveedi","sequence":"additional","affiliation":[{"name":"Internal Medicine, Decatur Morgan Hospital, Decatur, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"2025082711245925000_18.7.e266743.1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0000000000000126"},{"key":"2025082711245925000_18.7.e266743.2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ket326"},{"key":"2025082711245925000_18.7.e266743.3","doi-asserted-by":"crossref","DOI":"10.1016\/j.autrev.2023.103391","article-title":"Rheumatoid vasculitis in 2023: Changes and challenges since the biologics era","volume":"22","author":"Mertz","year":"2023","journal-title":"Autoimmun Rev"},{"key":"2025082711245925000_18.7.e266743.4","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e32831c5303"},{"key":"2025082711245925000_18.7.e266743.5","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s11926-017-0667-3","article-title":"Rheumatoid Vasculitis: A Diminishing Yet Devastating Menace","volume":"19","author":"Kishore","year":"2017","journal-title":"Curr Rheumatol Rep"},{"key":"2025082711245925000_18.7.e266743.6","doi-asserted-by":"crossref","unstructured":"Abdulqader Y , Al-Ani M , Parperis K . 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