Arthritis Robustus: review of a case of an "abnormal" rheumatoid.
BACKGROUND
Incidental discovery or diagnosis of Rheumatoid Arthritis where the patient remains blissfully unaware of his affection is a rare occurrence.


METHODS
We present the case of a telephone wireman in whom Rheumatoid Arthritis neither affected his activities of daily living nor caused any deformity to develop. It remained asymptomatic till its incidental discovery during his admission for treatment of myocardial infarction.


RESULTS
This presentation of Rheumatoid Arthritis is termed 'Arthritis Robustus' and goes against the very tenets of the picture of Rheumatoid Arthritis we have in our minds. The name given to this entity stems from the fact that these patients are mostly physical labourers i.e. 'Robust'.


CONCLUSIONS
Rheumatoid Arthritis can very rarely be asymptomatic. The rarity of the entity can be inferred from the paucity of published literature.
Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India.
Kajal
K
Prasad
Rheumatology Clinic, Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India.
Deepak
D
Rath
Rheumatology Clinic, Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India.
Bijit Kumar
BK
Kundu
Arthritis robustus; Atypical presentation; Rheumatoid arthritis; Rheumatoid robustus