eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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6/2008
vol. 46
 
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abstract:

Case report
Bronchiolitis obliterans complicating rheumatoid arthritis

Paweł Piesiak
,
Monika Kosacka
,
Renata Jankowska

Reumatologia 2008; 46, 6: 384–387
Online publish date: 2009/01/21
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A twenty-seven year-old woman with 5 years’ history of rheumatoid arthritis was admitted to the hospital because of chronic cough and dyspnoea on exertion. Pulmonary function tests revealed a severe obstruction with dynamic lung hyperinflation, a decrease in the lung diffusion capacity and negative bronchodilation test. High resolution computed tomography revealed a few fibrotic changes in the right lung only, without symptoms of air trapping. The diagnosis of bronchiolitis obliterans was established. The patient was treated with prednisone 1 mg/kg/day and cyclophosphamide 1 mg/kg/day. There was no improvement. The patient was qualified for lung transplantation.
keywords:

bronchiolitis obliterans, rheumatoid arthritis



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