Acute postoperative inflammatory polyarthritis associated with a lone IgM cardiolipin antibody.
While the most recognised complication after joint surgery is septic arthritis, other forms of joint pathology may occur. We present a case of postoperative polyarthritis with high inflammatory markers, which responded to a course of prednisolone. The occurrence of high IgM cardiolipin antibodies that normalised with treatment suggests that this condition is a form of transient autoimmunity.
Department of Rheumatology, Barts Health NHS Trust, London, UK.
Ignatius
I
Chua
Department of Rheumatology, Barts Health NHS Trust, London, UK.
Ali
A
Jawad
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001168:Arthritis / Q000188:drug therapy / Q000276:immunology*; D001172:Arthritis, Rheumatoid / Q000175:diagnosis; D001182:Arthroscopy / Q000009:adverse effects*; D002308:Cardiolipins / Q000276:immunology*; D003937:Diagnosis, Differential; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood*; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D002308:Cardiolipins; D007075:Immunoglobulin M; D011239:Prednisolone