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Case Reports in Medicine
Volume 2012 (2012), Article ID 983985, 3 pages
http://dx.doi.org/10.1155/2012/983985
Case Report

A Seropositive Nodular Rheumatoid Polyarthritis without Arthritis: Does It Exist?

Research Unit for Clinical Geriatrics, Department of Internal Medicine, Sahloul Hospital, 01/UR/08-12, 4054 Sousse, Tunisia

Received 14 January 2012; Revised 20 February 2012; Accepted 20 February 2012

Academic Editor: Estella M. Matutes

Copyright © 2012 Fatma Ben Fredj Ismail et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The rheumatoid polyarthritis is the most frequent chronic polyarthritis. It affects essentially the woman between 40 and 60 years. Rheumatic subcutaneous nodules and tenosynovitis are usually associated with seropositive symptomatic rheumatoid polyarthritis. It is, however, rare that they constitute the essential clinical expression of the disease. In this case, it makes dispute another exceptional form of rheumatoid arthritis such as rheumatoid nodulosis. A 60-year-old woman was hospitalized for tumefaction of the dorsal face of the right hand evolving two months before. The clinical examination found subcutaneous nodules from which the exploration ended in rheumatoid nodules with tenosynovitis. The evolution after four years was favourable under corticosteroid therapy, methotrexate, and colchicine.