Complicated Rheumatoid Nodules in Lung

Complicated Rheumatoid Nodules in Lung

A 65-year-old nonsmoker lady carrying a diagnosis of seropositive erosive rheumatoid arthritis for nine years presented with acute shortness of breath, following a spontaneous pneumothorax while on combination therapy with methotrexate, leflunomide, and tocilizumab. Imaging studies revealed multiple...

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Main Author: Geetha Wickrematilake
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2020/6627244
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spelling doaj-98afb7f79ce4456d8e45130fdf22fc9f2020-12-14T09:46:36ZengHindawi LimitedCase Reports in Rheumatology2090-68892090-68972020-01-01202010.1155/2020/66272446627244Complicated Rheumatoid Nodules in LungGeetha Wickrematilake0Sirimavo Bandaranayake Specialized Childrens Hospital, Kandy, Sri LankaA 65-year-old nonsmoker lady carrying a diagnosis of seropositive erosive rheumatoid arthritis for nine years presented with acute shortness of breath, following a spontaneous pneumothorax while on combination therapy with methotrexate, leflunomide, and tocilizumab. Imaging studies revealed multiple cavitory lung nodules, and a transbronchial lung biopsy favoured a diagnosis of rheumatoid lung nodules. Her initial pathological samples were negative for any infectious cause. A follow-up computerized tomography scan (CT scan) confirmed enlargement of lung nodules with a positive antibody test for aspergillosis which needed antifungal therapy, and currently, her arthritis is managed well with rituximab therapy, sulfasalazine, and hydroxychloroquine.http://dx.doi.org/10.1155/2020/6627244
collection DOAJ
language English
format Article
sources DOAJ
author Geetha Wickrematilake
spellingShingle Geetha Wickrematilake
Complicated Rheumatoid Nodules in Lung
Case Reports in Rheumatology
author_facet Geetha Wickrematilake
author_sort Geetha Wickrematilake
title Complicated Rheumatoid Nodules in Lung
title_short Complicated Rheumatoid Nodules in Lung
title_full Complicated Rheumatoid Nodules in Lung
title_fullStr Complicated Rheumatoid Nodules in Lung
title_full_unstemmed Complicated Rheumatoid Nodules in Lung
title_sort complicated rheumatoid nodules in lung
publisher Hindawi Limited
series Case Reports in Rheumatology
issn 2090-6889
2090-6897
publishDate 2020-01-01
description A 65-year-old nonsmoker lady carrying a diagnosis of seropositive erosive rheumatoid arthritis for nine years presented with acute shortness of breath, following a spontaneous pneumothorax while on combination therapy with methotrexate, leflunomide, and tocilizumab. Imaging studies revealed multiple cavitory lung nodules, and a transbronchial lung biopsy favoured a diagnosis of rheumatoid lung nodules. Her initial pathological samples were negative for any infectious cause. A follow-up computerized tomography scan (CT scan) confirmed enlargement of lung nodules with a positive antibody test for aspergillosis which needed antifungal therapy, and currently, her arthritis is managed well with rituximab therapy, sulfasalazine, and hydroxychloroquine.
url http://dx.doi.org/10.1155/2020/6627244
work_keys_str_mv AT geethawickrematilake complicatedrheumatoidnodulesinlung
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