%0 Journal Article
%T New diagnosis of rheumatoid arthritis during the third trimester of pregnancy
%A Barry Fomberstein
%A Mahsa Kanzali
%A Niharika Joolukuntla
%A Sana Qureshi
%A Syed Farhan Rizvi
%J Archive of "Women's Health".
%D 2016
%R 10.1177/1745505716661724
%X We report here an unusual case of rheumatoid arthritis presenting for the first time in a 32-week pregnant patient. Despite thorough evaluations from different specialties, the patient¡¯s diagnosis went undiscovered originally being attributed to orthopedic issues and then to normal symptoms of pregnancy. The patient¡¯s symptoms progressively worsened until she was no longer able to ambulate and complete her daily activities. A primary diagnosis of rheumatoid arthritis is exceedingly rare during pregnancy due to changes in the body¡¯s immune system that accommodate the foreign fetus. Also physiologic changes that occur during pregnancy can often cloud the clinical picture of a patient presenting with joint pain and weakness. Nonetheless, a thorough workup should be conducted to rule out underlying rheumatologic disease
%K autoimmune disorder
%K cholestasis of pregnancy
%K pregnancy
%K rheumatoid arthritis
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5373281/