Case Report

A Case of Severe Seronegative Inflammatory Arthritis due to Nivolumab and Review of the Literature

Table 1

Immunologic workup.

Immunology/serologyReference rangeResult

ANANegativePositive
ANA titerNegative1 : 160
ANA patternUnknownNucleolar
DNA antibody<30 IU/mL22
RNP antibody<1.0<0.2
Ribosomal RNP<1.0<0.2
SSB antibody<1.0<0.2
Sm antibody<1.0<0.2
SSA antibody<1.0<0.2
Scleroderma Ab, IgG<1.0<0.2
Jo 1 antibody<1.0<0.2
Chromatin antibody<1.0<0.2
Centromere Ab<1.0<0.2
Rheumatoid factor<16 IU/mL<10
CCP antibody, IgG<20 units<15

ANA: antinuclear antibody; DNA: deoxyribonucleic acid; RNP: ribonucleoprotein; SSB: anti-Sjögren’s syndrome type B; SSA: anti-Sjögren’s syndrome type B; Ab: antibody; CCP: cyclic citrullinated peptide; IU: international unit.