Massive serositis in a patient with Rheumatoid Arthritis : Case report

Abstract

Pleural and pericardial disease are established systemic manifestations of rheumatoid arthritis. In the following case report, we describe a patient who presented to us with large bilateral pleural effusions, massive ascites and severe pericardial effusion with impending cardiac tamponade. After extensive investigations, the serositis was suggested to be rheumatic in origin, and improved on steroids and biologic agent (rituximab).