%0 Journal Article
%T A seropositive nodular rheumatoid polyarthritis without arthritis, does it exist?
%A Ben Fredj Ismail Fatma
%A Rezgui Amel
%A Karmani Monia
%A Ben Abdallah Olfa
%A Azzebi Samira
%A Laouani Kechrid Chedia
%J Open Journal of Internal Medicine
%P 70-72
%@ 2162-5980
%D 2013
%I Scientific Research Publishing
%R 10.4236/ojim.2013.32018
%X <p>
	<b><span style=\"font-size:10.0pt;\">Introduction:
The rheumatoid polyarthritis is the most </span></b><b><span style=\"font-size:10.0pt;\">frequent chronic
polyarthritis. It affects essentially woman between 40 and 60 years old.
Rheumatic subcutaneous nodules and tenosynovitis are usually associated
with seropositive symptomatic rheumatoid polyarthritis. However, it is rare
that they constitute the essential clinical expression of the disease. Case report: A 60-year-old woman was hospitalized for tumefaction of the dorsal face
of the right hand evolved <span>two months before.
The clinical examination was </span>found isolated subcutaneous nodules. The
anatomopathological exam of one nodule ended in its rheumatoid origin and
the MRI of a second one confirmed a tenosynovitis. </span></b><b><span style=\"font-size:10.0pt;\">Anti-CCP antibodies were positive. </span></b><b><span style=\"font-size:10.0pt;\">The patient has
never suffered from arthralgias. The evolution was favourable under
corticosteroid therapy, me<span>thotrexate and
colchicine. Discussion: Rheumatic</span> subcutaneous nodules and
tenosynovitis are usually asso<span>ciated with
seropositive symptomatic rheumatoid</span><span> polyarthritis. It is rare that they constitute </span>the essential clinical
expression of the disease. </span></b><b><span style=\"font-size:10.0pt;\">Conclusion: The extra-articular appearances of the rheumatoid
polyarthritis must not be underestimated especially since they can constitute¡ªeven
rarely¡ªthe essential clinical expression of the disease.</span></b><b><span style=\"font-size:10.0pt;\"></span></b> 
</p>
%K Rheumatoid Polyarthritis
%K Rheumatoid nodules
%K Seropositive
%K Tenosynovitis
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=32843