Multiple pulmonary rheumatoid nodules

We present a case of 45-year-old female patient with the diagnosis of seropositive rheumatoid arthritis, who was admitted to our rheumatology department with exacerbation of the disease. The patient's disease activity score (DAS 28) was 6.9. Physical examination revealed changes in the lung aus...

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Bibliographic Details
Published in:Reumatologia 2015, Vol.53 (5), p.276-278
Main Authors: Sargin, Gokhan, Senturk, Taskin
Format: Article
Language:English
Subjects:
Case Report
pulmonary changes
rheumatoid arthritis
rheumatoid nodule
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Summary:We present a case of 45-year-old female patient with the diagnosis of seropositive rheumatoid arthritis, who was admitted to our rheumatology department with exacerbation of the disease. The patient's disease activity score (DAS 28) was 6.9. Physical examination revealed changes in the lung auscultation as a rough breathing sound at the middle and lower lobe of the right lung. Chest X-ray revealed multiple nodular densities in both lungs. Lung biopsy was performed for the diagnosis and revealed necrotizing granulomas with central fibrinoid necrosis surrounded by epithelioid cells. Such a histopathological picture is typical for rheumatoid nodules. Finally the patient was treated with rituximab, with significant improvement.
ISSN:0034-6233
2084-9834
DOI:10.5114/reum.2015.55831