Abstract
A 49-year-old man was referred to the hospital because of acute kidney injury. He was diagnosed with seronegative rheumatoid arthritis (RA) ∼2 years before admission owing to typical clinical symptoms and joint erosions in radiographs of hands and wrist. Of note, antinuclear antibodies and anti–double-stranded DNA antibodies were negative at this time point. He had received a single dose of adalimumab 2 months previously after experiencing intolerance to leflunomide and etanercept (3 doses). The patient reported only fatigue and calf pain and had not taken any nephrotoxic medications.
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