Acute parvovirus B19 infection presenting as rheumatoid arthritis mimic.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31041286.
- Also identified by DOI 10.4103/jfmpc.jfmpc_25_19 and PMC identifier 6482719.
- Licence recorded as CC BY-NC-SA.
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Abstract
Acute parvovirus B19 infection can cause acute symmetric polyarthritis indistinguishable from polyarticular rheumatoid arthritis. Most cases of acute arthritis due to parvovirus B19 are self-limiting and resolve with symptomatic treatment. We present a 65-year-old lady from Southern India who presented with history of fever and joint pain for 10 days. Clinical examination revealed symmetric inflammatory arthritis involving the appendicular skeleton with predominant involvement of bilateral metacarpophalageal joints. Laboratory investigations revealed elevated inflammatory markers with negative serology for rheumatoid arthritis. Parvovirus B19 IgM antibody tested positive. She was initiated on nonsteroidal anti-inflammatory drugs with which her symptoms resolved completely.