Rheumatoid arthritis following ciguatera poisoning: A case report / Journal of Rural Medicine

<p><b>Objective:</b> To report the first case of ciguatera-associated rheumatoid arthritis in Japan.</p><p><b>Patient:</b> A 53-year-old man presented to our clinic with morning stiffness and pain in the fingers and wrists.</p><p><b>Results:</b> For six months, he had suffered from chronic pain in both hands and shoulders caused by ciguatera poisoning. He was referred to a local general hospital and diagnosed with RA.</p><p><b>Conclusion:</b> When synovitis becomes evident in chronic ciguatera poisoning, reevaluation is necessary, including investigation of chronic arthritis, which might be associated with the onset of RA.</p>