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We report an atypical initial feature of rheumatoid arthritis in a middle-aged male. This case will raise awareness among generalists to recognize this disease early.<\/jats:p>","DOI":"10.1177\/00494755221139643","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T02:00:03Z","timestamp":1668564003000},"page":"193-195","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Purtscher-like retinopathy-unusual initial presentation of rheumatoid arthritis"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0853-3744","authenticated-orcid":false,"given":"Ashok","family":"Kumar","sequence":"first","affiliation":[{"name":"Professor, Department of Ophthalmology, Armed Forces Medical College, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankita","family":"Singh","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Ophthalmology, Armed Forces Medical College, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep","family":"Shankar","sequence":"additional","affiliation":[{"name":"Professor &amp; HoD, Department of Ophthalmology, Armed Forces Medical College, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas","family":"Ambiya","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Ophthalmology, Armed Forces Medical College, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhishek","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Bachelor of Medicine and Bachelor of Surgery, Department of Ophthalmology, Armed Forces Medical College, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srujana","family":"Dubbaka","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Ophthalmology, Armed Forces Medical College, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2012.222"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2007.117408"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/02713683.2016.1255335"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.8.722"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.17305\/bjbms.2010.2729"},{"key":"e_1_3_2_7_2","first-page":"160","article-title":"Purtscher\u2019s retinopathy secondary to pancreatitis. 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