Article Text
PDF
Statistics from Altmetric.com
A woman aged 52 years, known to have rheumatoid arthritis for 12 years, presented with worsening of joint pain for 2 weeks. Her disease was well-controlled with oral prednisolone and disease-modifying antirheumatic drugs (DMARDs), which she had discontinued for the last 2 months. Examination revealed tender and swollen left shoulder (figure 1A), both wrists, knees, ankles and small joints of hands and feet. Investigations revealed normal haemogram and raised inflammatory markers. Radiographs of hands and left shoulder (figure 1B) showed erosions and joint space narrowing. Grayscale ultrasonography of the left shoulder revealed subacromial subdeltoid bursitis with multiple loose bodies (figure …
Footnotes
Handling editor Josef S Smolen
X @alekhya_7, @RasmiKGMU
Contributors AA, SN and RRS prepared the clinical image and the medical description of the case. All the authors were in charge of the patient during his hospitalisation and provided information on the patient’s evolution. AS, AM, AKP and PP discussed the manuscript and contributed to the final version. PP is the guarantor.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.