{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T15:44:43Z","timestamp":1649000683620},"reference-count":0,"publisher":"Oman Medical Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Oman Med J"],"published-print":{"date-parts":[[2021,7,15]]},"abstract":"<jats:p>Cutaneous granulomas presenting as skin nodules are the most common extra-articular manifestations of rheumatoid arthritis (RA). Granulomas are defined as a form of chronic inflammatory response characterized by aggregation of activated histiocytes. Visceral granulomas are a rare complication of long-standing RA and have been described twice in the literature. We report a case of a 55-year-old woman with a 15-year history of RA. The patient presented with epigastric pain and weight loss. Imaging studies showed a large soft tissue mass in the head of the pancreas, which was suspected to be malignant. A Whipple procedure was performed, and histological examination revealed multiple non-caseating granulomas with central liquefaction and neutrophilic infiltrate. Ziehl-Neelsen stain for acid-fast bacilli and tuberculosis polymerase chain reaction were negative. The patients\u2019 granulomas were diagnosed as rheumatoid granulomas. Five years after diagnosis, the patient is doing well and has no complications.<\/jats:p>","DOI":"10.5001\/omj.2021.37","type":"journal-article","created":{"date-parts":[[2021,8,22]],"date-time":"2021-08-22T06:42:48Z","timestamp":1629614568000},"page":"e291-e291","source":"Crossref","is-referenced-by-count":0,"title":["Pancreatic Rheumatoid Granulomas: A Case Report of a Rare Complication of Rheumatoid Arthritis"],"prefix":"10.5001","volume":"36","author":[{"given":"Sanad","family":"Elshebli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Abureesh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heyam","family":"Awad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2907","published-online":{"date-parts":[[2021,7,30]]},"container-title":["Oman Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2021,8,22]],"date-time":"2021-08-22T06:42:48Z","timestamp":1629614568000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.omjournal.org\/articleDetails.aspx?coType=1&aId=2966"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,15]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,7,30]]},"published-print":{"date-parts":[[2021,7,15]]}},"URL":"https:\/\/doi.org\/10.5001\/omj.2021.37","relation":{},"ISSN":["1999-768X","2070-5204"],"issn-type":[{"value":"1999-768X","type":"print"},{"value":"2070-5204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,15]]}}}