RAre mimics (@reinmd77)

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Gastric Perforation due to Iatrogenic Immunodeficiency-associ Lymphoproliferative Disorder. RA pts develop more LPDs than healthy individuals.... DMARDs may contribute to ⬆️ risk of LPDs. ◾regressed w/MTX TAC stop 9 cases https://t.co/uHJFGWmiqT https://t.co/u2XRuS2Wnb
RAre Mimic 26y♂️ 2mths (-)polyarthritis, previous pleuro-pneumon ⬇️IgG Dx hypo-γ-globulinemia Rx IVIG PIP-Bx: itis
RAre Mimic 19yr old pain legs, wrists, multip fractures (mimic seroneg RA: https://t.co/TtHgRRflEB) Xray multiple cysts (CAVE: NO erosions) Bx: polycystic lipomembran osteodysplasia. Later: seizures, preseni dementia Dx Nasu-Hakola Disease (PLOSL) https://t.co/XkiEXqYx1w https://t.co/YHVIWL6hDp
RAre complication RA 20yrs MTX Pred dry cough CXR CT tumor 2 cm MRI intracranial tumors- removed: lymphomatoid granulomatosis Clue MTX stop. Chest cleared within 2 months. MTX -induced Lymphoproliferative Disorder 2 cases https://t.co/lfWP2odPkR https://t.co/UhBgocRh7u
RAre complication RA MTX New: lymphnodes nuchal Dx MTX - LPD, MTX stopped. parallel gastric ulcer recidiv, retrospective MALT, considered as MTX related as well. possible first such case Cured after MTX stop https://t.co/OObUHGAapd https://t.co/FzWe97xdSl
RAre mimic 9 mths pain swellg RA pattern CTS op improves Clue pain motion only, synovitis? macroglossia, shoulder pad, Path nil IgM/A lowish, NO M-peak MRI deposits Immunofix: κ-type Bence Jones prot. Bx 3x:Light chain amyloid Dx primary Amyloidosis https://t.co/Nmuvvl659o https://t.co/8JCgfISCrQ
RAre mimic Pain swelling shoulder, wrist & submandibular gland RF++. ANA++ Clue MRI FDG-PET, renal Bx Dx Synovitis in IgG4-RD Rx Pred, resolved (sic) 3 additional cases discussed! https://t.co/eNqh080WzL https://t.co/r2tpa45EaP
DDx for ONJ-BISPHOSPONATES: Oral Methotrexate-related Lymphoproliferative Disease Presenting with Severe Osteonecrosis of the Jaw: A Case Report and Literature Review https://t.co/R6bdcuFuuf
RAre DDx finger swelling pain in winter Phalangeal Microgeodic diz Clue MRI https://t.co/zAhUi38GrB https://t.co/zTzFNaHCHw
RAre Mimic Polyarthritis, rapidly destructive, seroneg Clue scaly ubiquitous Pityriasis rubra pilaris https://t.co/ov03xvrWLi https://t.co/FVy5p7sOkE
RAre Mimic Seroneg polyarthritis, weakness Rx bucillamine Eruption: dermatomyo? Clue Bx nodule Multicentric RHC https://t.co/jOztDILsMc https://t.co/0bamFgsx7l
RAre Mimic swelling left wrist tender both wrists Clue Bx: yeasts Sporotrichosis https://t.co/bOhUXY2kxc https://t.co/x8c5ZP3zwj
RAre Mimic seroneg polyarthritis, normal acute phase reactants. Clue: Bence Jones https://t.co/9pZzCpVraC https://t.co/YZoD46eAgE
Methotrexate-associated lymphoproliferative disorders knee joint—A case report https://t.co/h6JLOwMJwP
RAre RA mimic Articular B-cell, non-Hodgkinʼs lymphoma mimicking RA -Methotrexate induced. https://t.co/9hiu3Y6Cfi

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