• Yaqing Cheng, Gang Cao, Qiaoli Yang, Shaohui Niu, Yina Fang, Chang Wang, and Jianchun Cao.
• Department of Peripheral Vascular, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China.
• Medicine (Baltimore). 2023 Nov 10; 102 (45): e35969e35969.

IntroductionRheumatoid vasculitis (RV) is a frequently encountered complication of rheumatoid arthritis (RA), wherein skin vasculitis lesions are observed as a common clinical manifestation, encompassing skin purpura, erythema, vascular occlusion, ulcers, and gangrene. As a matter of fact, it marks the most severe extra-articular manifestation of RA. And the resultant ulcers tend to pose a greater challenge with regard to therapeutic interventions. We report a case of RV complicated by refractory foot ulcer that was successfully treated with puncture.Case PresentationA 62-year-old man with RV caused by RA developed refractory foot ulcers. Despite the application of topical antibiotics, the wound gradually expanded and remained unhealed for 7 months. Consequently, the patient sought an integrated therapeutic approach involving Traditional Chinese Medicine and was subsequently treated with acupuncture. After 12 weeks of acupuncture, the foot ulcers healed completely.ConclusionAcupuncture has the potential to facilitate wound healing and may serve as a viable alternative treatment modality for wounds unresponsive to traditional therapeutic interventions.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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