New diagnosis of rheumatoid arthritis during the third trimester of pregnancy

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 pregn...

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Bibliographic Details
Published in:Women's health (London, England) England), 2016-07, Vol.12 (4), p.407-411
Main Authors: Qureshi, Sana, Kanzali, Mahsa, Rizvi, Syed Farhan, Joolukuntla, Niharika, Fomberstein, Barry
Format: Article
Language:English
Subjects:
Adult
Arthritis, Rheumatoid - diagnosis
Arthritis, Rheumatoid - physiopathology
Case Reports
Female
Humans
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - physiopathology
Pregnancy Outcome
Pregnancy Trimester, Third
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Summary: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.
ISSN:1745-5065
1745-5057
1745-5065
DOI:10.1177/1745505716661724