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Rheumatoid arthritis with ‘tram-tracks’ and ‘signet rings’
  1. Ashish Sharma1,
  2. Anish Kapil2
  1. 1Department of Rheumatology, Fortis Hospital, Noida, Uttar Pradesh, India
  2. 2Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Ashish Sharma, Department of Rheumatology, Fortis Hospital Noida, Noida 110070, India; ash.blueney{at}gmail.com

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A 54-year-old man presented with a history of cough, expectoration and breathlessness which had been worsening over the past 1 year. He did not have fever, night sweats or weight loss. He had been diagnosed to have rheumatoid arthritis 8 years ago. Examination showed synovitis in the metacarpophalangeal joints and wrists; deformities suggestive of rheumatoid arthritis were seen in multiple joints. Auscultation of the chest revealed bilateral infrascapular coarse crepitations. Interstitial lung disease …

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Footnotes

  • Twitter @akapil15

  • Contributors Both the authors contributed equally to the preparation of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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