Skip to Main Content


Patients who present to the ED with systemic rheumatic disease manifestations are often at risk for pain and discomfort, organ damage, infection, adverse drug events, and significant morbidity or mortality, especially if their disease presentation is not properly recognized and managed. A new diagnosis of rheumatic disease is usually not possible in an ED visit, but may be completed in the outpatient or inpatient setting, depending on the severity of symptoms. Given the various emergent manifestations, this chapter approaches systemic rheumatic diseases by pertinent organ systems affected (Table 181-1).

Table 181-1

Common Features and Complications of Systemic Rheumatic Diseases

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.