Is It Really Rheumatoid Arthritis ?

Year 2024, Volume: 1 Issue: 1, 68 - 71, 31.01.2024

Evren Er

Abstract

Rheumatoid arthritis; it is an autoimmune disease that usually shows symmetrical polyarticular involvement and rheumatoid factor and anti-cyclic citrullated peptide positivity. Patients may not have antibody positivity, but rheumatoid arthritis may be present and these patients are defined as seronegative rheumatoid arthritis. It is expected decrease acute phase reactants levels and disease activity scores of patients who start treatment. It is important to review the diagnosis, especially in patients with seronegative rheumatoid arthritis who do not respond to treatment. In this case report, a patient who was followed up with the diagnosis of seronegative rheumatoid arthritis and was diagnosed with soft tissue tumor in his hand is presented.

Keywords

Physical and Rehabilitation Medicine, Rheumatoid Arthritis, Soft Tissue Neoplasms

Ethical Statement

Consent was obtained from the patient. Informed consent form was signed.

References

• Smolen JS, Aletaha D, McInnes IB. Rheumatoid arthritis. Lancet. 2016; 388(10055):2023-2038. doi:10.1016/S0140-6736(16)30173-8.
• Akiyama M, Kaneko Y. Pathogenesis, clinical features, and treatment strategy for rheumatoid arthritis-associated interstitial lung disease. Autoimmun Rev. 2022;21(5):103056. doi: 10.1016/j.autrev.2022.103056.
• Rönnelid J, Turesson C, Kastbom A. Autoantibodies in Rheumatoid Arthritis - Laboratory and Clinical Perspectives. Front Immunol. 2021;12:685312 doi: 10.3389/fimmu.2021.685312.
• Pratt AG, Isaacs JD. Seronegative rheumatoid arthritis: pathogenetic and therapeutic aspects. Best Pract Res Clin Rheumatol. 2014;28(4):651-659. doi: 10.1016/j.berh.2014.10.016.
• Villa-Blanco JI, Calvo-Alén J. Elderly onset rheumatoid arthritis: differential diagnosis and choice of first-line and subsequent therapy. Drugs Aging. 2009;26(9):739-750. doi: 10.2165/11316740-000000000-00000.
• Kumar R, Ahmed S, Parray HA, Das S. Chikungunya and arthritis: An overview. Travel Med Infect Dis. 2021;44:102168. doi: 10.1016/j.tmaid.2021.102168.
• Lerch K, Herold T, Borisch N, Grifka J. Die Bildgebung beim rheumatischen Ellenbogen [Imaging in rheumatoid arthritis of the elbow]. Orthopade. 2003;32(8):691-698. doi: 10.1007/s00132-003-0509-z.
• Sakellariou G, Montecucco C. Ultrasonography in rheumatoid arthritis. Clin Exp Rheumatol. 2014;32:20-25.
• Kay J, Upchurch KS. ACR/EULAR 2010 rheumatoid arthritis classification criteria. Rheumatology (Oxford).2012;51:5-9. doi: 10.1093/rheumatology/kes279.
• Radu AF, Bungau SG. Management of Rheumatoid Arthritis: An Overview. Cells. 2021;10(11):2857. doi: 10.3390/cells10112857.
• Ataman Ş, Sunar İ, Yilmaz G, et al. Turkish League Against Rheumatism (TLAR) Recommendations for the Pharmacological Management of Rheumatoid Arthritis: 2018 Update Under Guidance of Current Recommendations. Arch Rheumatol. 2018;33(3):251-271. doi: 10.5606/ArchRheumatol.2018.6911.
• Pu LM, Liu Y, Zhou DX, et al. Development and validation of equations for conversion from DAS28ESR and DAS28CRP to the SDAI in patients with rheumatoid arthritis. Clin Rheumatol. 2022;41(12):3697-3706. doi: 10.1007/s10067-022-06259-z.
• Smolen JS, Aletaha D. Scores for all seasons: SDAI and CDAI. Clin Exp Rheumatol. 2014;32(5):75-79.
• Stacy GS, Bonham J, Chang A, Thomas S. Soft-Tissue Tumors of the Hand-Imaging Features. Can Assoc Radiol J. 2020;71(2):161-173. doi: 10.1177/0846537119888356.