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These signs and symptoms were later recognised as extra-articular manifestations of RA and classical features of RA were less pronounced. Following extensive diagnostic testing ruling out other possible causes for the presenting symptoms, an anti-inflammatory therapy with oral glucocorticoids and methotrexate was started.<\/jats:p>","DOI":"10.1136\/bcr-2020-237251","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T15:55:24Z","timestamp":1612540524000},"page":"e237251","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Delayed diagnosis of rheumatoid arthritis in an elderly patient presenting with weakness and desolation"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9178-6875","authenticated-orcid":false,"given":"Sebastian","family":"Stiebitz","sequence":"first","affiliation":[{"name":"Universit\u00e4re Altersmedizin Felix Platter, Basel, Basel-Stadt, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tasslem","family":"von Streng","sequence":"additional","affiliation":[{"name":"Psychiatriezentrum M\u00fcnsingen, Munsingen, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Strickler","sequence":"additional","affiliation":[{"name":"Geriatric Department, Solothurner Spit\u00e4ler AG, Solothurn, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"key":"2025082701015643000_14.2.e237251.1","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1007\/s00393-011-0928-x","article-title":"[Extra-articular manifestations of rheumatoid arthritis]","volume":"71","author":"Baerwald","year":"2012","journal-title":"Z Rheumatol"},{"key":"2025082701015643000_14.2.e237251.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2011.09.001"},{"key":"2025082701015643000_14.2.e237251.3","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.8.722"},{"key":"2025082701015643000_14.2.e237251.4","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e32831c5303"},{"key":"2025082701015643000_14.2.e237251.5","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0000000000000126"},{"key":"2025082701015643000_14.2.e237251.6","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.rdc.2017.06.005","article-title":"Neurologic manifestations of rheumatoid arthritis","volume":"43","author":"DeQuattro","year":"2017","journal-title":"Rheum Dis Clin North Am"},{"key":"2025082701015643000_14.2.e237251.7","first-page":"81","article-title":"An overview of the Extraarticular involvement in rheumatoid arthritis and its management","volume":"8","author":"Das","year":"2017","journal-title":"J Pharmacol Pharmacother"},{"key":"2025082701015643000_14.2.e237251.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l1108"},{"key":"2025082701015643000_14.2.e237251.9","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1002\/jcsm.12411","article-title":"Sarcopenia and its association with falls and fractures in older adults: a systematic review and meta-analysis","volume":"10","author":"Yeung","year":"2019","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"2025082701015643000_14.2.e237251.10","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1007\/s00415-018-9110-6","article-title":"Poems syndrome: clinical update","volume":"266","author":"Brown","year":"2019","journal-title":"J Neurol"},{"key":"2025082701015643000_14.2.e237251.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2015.08.016"},{"key":"2025082701015643000_14.2.e237251.12","unstructured":"Williams BA , Chang A . 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