Abstract
Background: There is little current literature on arthritis robustus, first described by Haas, et al. in 1973 as “Rheumatoid arthritis, typus robustus,” is an atypical presentation of rheumatoid arthritis (RA) wherein the patient can work and complete activities of daily living despite possessing severe disease.
Case Presentation: This article expands the current literature on arthritis robustus as an atypical presentation of rheumatoid arthritis using a case-revelation from a rural rheumatology clinic in the United States. Despite being treated with effective DMARD therapy in the form of Hydroxychloroquine and Methotrexate augmented by the use of a steroid bridge. This patient elected, of his own accord, to discontinue treatment and self-taper his steroids despite diagnosis with severe rheumatic disease affecting multiple joints.
Discussion: Late onset RA (LORA) has been associated with worse outcomes including increased joint erosions, disease activity, all associated with poor outcomes. Earlier detection of the rather rare arthritis robustus variant of PMR-like onset of LORA and subsequent mindful therapeutic intervention, respecting patient-autonomy as a shared informed decision, may improve outcomes.
Case Presentation: This article expands the current literature on arthritis robustus as an atypical presentation of rheumatoid arthritis using a case-revelation from a rural rheumatology clinic in the United States. Despite being treated with effective DMARD therapy in the form of Hydroxychloroquine and Methotrexate augmented by the use of a steroid bridge. This patient elected, of his own accord, to discontinue treatment and self-taper his steroids despite diagnosis with severe rheumatic disease affecting multiple joints.
Discussion: Late onset RA (LORA) has been associated with worse outcomes including increased joint erosions, disease activity, all associated with poor outcomes. Earlier detection of the rather rare arthritis robustus variant of PMR-like onset of LORA and subsequent mindful therapeutic intervention, respecting patient-autonomy as a shared informed decision, may improve outcomes.
| Original language | American English |
|---|---|
| Pages | 47 |
| State | Published - 17 Feb 2023 |
| Event | Oklahoma State University Center for Health Sciences Research Week 2023 - Oklahoma State University Center for Health Sciences, 1111 W. 17th street, Tulsa, United States Duration: 13 Feb 2023 → 17 Feb 2023 https://medicine.okstate.edu/events/index.html?trumbaEmbed=view%3Devent%26eventid%3D160681489 |
Conference
| Conference | Oklahoma State University Center for Health Sciences Research Week 2023 |
|---|---|
| Country/Territory | United States |
| City | Tulsa |
| Period | 13/02/23 → 17/02/23 |
| Internet address |
Keywords
- Arthritis Robustus
- rheumatoid arthritis
- Polymyalgia Rheumatica