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Papers of the Week

2022 Sep

Dtsch Med Wochenschr



[Lack of therapeutic response: Is it really a rheumatoid Arthritis?]


Marinoska T, Lauf C, Schorn C, Schwarting A
Dtsch Med Wochenschr. 2022 Sep; 147(17):1153-1157.
PMID: 36030790.


 A 78-year-old female patient was referred to our hospital with treatment-resistant seronegative anti-citrullinated protein antibodies (ACPA)-negative rheumatoid arthritis. The course was characterized by high inflammatory activity and rapid progression of the erosive changes. Under the required high-dose prednisolone therapy, osteoporosis and a deep venous thrombosis (DVT) with pulmonary embolism developed.