{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:28:08Z","timestamp":1786739288152,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>The term Rhupus is coded for the individuals who have rheumatoid like arthritis with erosions and fulfil the criteria for both rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Abnormal Th2 cell plays a central role in SLE while Th1 participate in RA. Thus the overlap of SLE and RA has a very low incidence (0.01%-0.2%) in patient with arthritis. This 40-year-old male patient presented with complains of severe multiple joint pain with progressive deformities, diminished vision from last 2 months, redness on back, headache and swelling over scalp. As this patient had history of severe trauma that was considered as a precipitating factor for ongoing chronic inflammatory disorder. Posterior subcapsular cataract was explained by prolong use of systemic steroid and rashes on the lower back due to sulfasalazine. Radioimaging study revealed arachnoid cyst and calcified projection arising from outer table of skull, which was kept under observation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_568_19","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:49:11Z","timestamp":1569890951000},"page":"3048-3050","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A rare case of Rhupus syndrome with Hashimoto's thyroiditis, associated adverse effect of drugs and incidental findings"],"prefix":"10.4103","volume":"8","author":[{"given":"Mohammad Firoz","family":"Nizami","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra B.","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishi T.","family":"Guria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay K.","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-57-20260203","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1136\/annrheumdis-2018-eular.2432","article-title":"AB0391 Clinical, serological and treatment analysis of rhupus syndrome: A retrospective monocentric study","volume":"77","author":"Rottenberg","year":"2018","journal-title":"Annals of the Rheumatic Diseases"},{"key":"R3-57-20260203","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1097\/MD.0000000000000049","article-title":"Clinical analysis of 56 patients with rhupus syndrome: Manifestations and comparisons with systemic lupus erythematosus: A retrospective case-control study","volume":"93","author":"Li","year":"2014","journal-title":"Medicine"},{"key":"R4-57-20260203","doi-asserted-by":"crossref","first-page":"77","DOI":"10.2147\/OARRR.S110560","article-title":"The onset of rheumatoid arthritis following trauma","volume":"8","author":"Brawer","year":"2016","journal-title":"Open Access Rheumatol"},{"key":"R5-57-20260203","doi-asserted-by":"crossref","first-page":"95","DOI":"10.3109\/s101650300016","article-title":"A huge congenital arachnoid cyst in a rheumatoid arthritis patient","volume":"13","author":"Nanke","year":"2003","journal-title":"Mod Rheumatol"},{"key":"R6-57-20260203","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.autrev.2012.09.004","article-title":"Rhupus syndrome: Assessment of its prevalence and its clinical and instrumental characteristics in a prospective cohort of 103 SLE patients","volume":"12","author":"Tani","year":"2013","journal-title":"Autoimmun Rev"},{"key":"R7-57-20260203","doi-asserted-by":"crossref","first-page":"249","DOI":"10.4103\/jfmpc.jfmpc_197_17","article-title":"Rhupus syndrome and Chiari's network","volume":"7","author":"Sargin","year":"2018","journal-title":"J Family Med Prim Care"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_568_19","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:27:36Z","timestamp":1786735656000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_568_19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":6,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_568_19","relation":{},"ISSN":["2249-4863"],"issn-type":[{"value":"2249-4863","type":"print"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}