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A Seropositive Nodular Rheumatoid Polyarthritis without Arthritis: Does It Exist?
Fatma Ben Fredj Ismail1, Amel Rezgui, Monia Karmani
1Research Unit for Clinical Geriatrics, Department of Internal Medicine, Sahloul Hospital, 01/UR/08-12, 4054 Sousse, Tunisia.
Case Reports in Medicine
|May 10, 2012
Summary
This case study highlights rheumatoid nodulosis, a rare presentation of rheumatoid arthritis. Early diagnosis and treatment with corticosteroids, methotrexate, and colchicine led to a favorable outcome.
Area of Science:
- Rheumatology
- Immunology
Background:
- Rheumatoid polyarthritis is a common chronic inflammatory condition, predominantly affecting women aged 40-60.
- Rheumatic subcutaneous nodules and tenosynovitis typically accompany seropositive rheumatoid polyarthritis.
Observation:
- A 60-year-old woman presented with a two-month history of hand swelling.
- Clinical examination revealed subcutaneous nodules, diagnosed as rheumatoid nodules with tenosynovitis.
Findings:
- The patient's condition, rheumatoid nodulosis, presented as the primary clinical manifestation of rheumatoid arthritis.
- This represents an exceptional clinical presentation of the disease.
Implications:
- This case underscores the importance of considering rare presentations of rheumatoid arthritis.
- Prompt diagnosis and combination therapy (corticosteroids, methotrexate, colchicine) can lead to favorable outcomes in rheumatoid nodulosis.
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