Rheumatoid Neutrophilic Dermatitis as a Presenting Manifestation of Seronegative Rheumatoid Arthritis OD08-OD09
Dr. Lakshman Meena,
All India Institute of Medical Science, New Delhi, India.
Rheumatoid Neutrophilic Dermatitis (RND) is rare type of skin manifestation in Rheumatoid Arthritis (RA) patients usually seen in long standing seropositive RA. It has very rarely been reported in seronegative RA patients. Here, a case of a young male with clinical features including skin rash over the body, non tender macular lesions on palms, forearms, legs, trunk and pain in joints has been reported. Clinical examination, skin biopsy, raised inflammatory markers and other investigations were suggestive of seronegative RA with neutrophilic dermatitis. The patient was successfully managed with steroids and conventional disease modifying drugs like hydroxychloroquine and methotrexate at three months follow-up period. Thus, RND may involve complications with progressive joint involvement in patients with seronegative RA.