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An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
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An Adoptive Transfer Model of Rheumatoid Arthritis in Mice

Published on: June 6, 2025

Rheumatoid arthritis flare mimicry by parvovirus B19.

Pradnya Patil1, Gwenette Andrea War1, Debashis Priyadarshan Sahoo2

  • 1Department of General Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, India.

Modern Rheumatology Case Reports
|May 11, 2026
PubMed
Summary

Parvovirus B19 infection can mimic rheumatoid arthritis (RA) flares, causing diagnostic challenges. Prompt diagnosis and treatment with intravenous immunoglobulin (IVIG) led to recovery in a patient with RA and pure red cell aplasia (PRCA).

Keywords:
Parvovirus B19autoimmune mimicryflare mimicrypure red cell aplasiarheumatoid arthritis

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Last Updated: May 13, 2026

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
07:37

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice

Published on: June 6, 2025

Area of Science:

  • Rheumatology
  • Hematology
  • Infectious Diseases

Background:

  • Parvovirus B19 infection can present with symptoms mimicking autoimmune disease flares, such as rheumatoid arthritis (RA).
  • Diagnostic challenges arise when parvovirus B19 mimics rheumatologic conditions, potentially leading to misdiagnosis.

Purpose of the Study:

  • To report a case of parvovirus B19 infection mimicking a rheumatoid arthritis flare.
  • To highlight the importance of considering parvovirus B19 in patients with atypical rheumatologic and hematologic presentations.

Main Methods:

  • A case report of a 50-year-old man with seropositive RA presenting with polyarthropathy and anemia.
  • Diagnostic workup included bone marrow aspiration and PCR for Parvovirus B19 DNA.
  • Treatment involved intravenous immunoglobulin (IVIG).

Main Results:

  • The patient presented with symptoms initially managed as a rheumatoid flare but revealed severe anemia and reticulocytopenia.
  • Bone marrow examination showed pure red cell aplasia (PRCA) with characteristic findings.
  • Parvovirus B19 DNA was detected, and IVIG treatment resulted in rapid hematologic recovery.

Conclusions:

  • Parvovirus B19 infection should be considered in the differential diagnosis of patients with rheumatologic or hematologic abnormalities, especially in immunocompromised or chronically ill individuals.
  • Early recognition and treatment of parvovirus B19 are crucial for preventing misdiagnosis and ensuring favorable patient outcomes.