eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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5/2015
vol. 53
 
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abstract:
Case report

Multiple pulmonary rheumatoid nodules

Gokhan Sargin
,
Taskin Senturk

Reumatologia 2015; 53, 5: 276–278
Online publish date: 2015/12/08
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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.
keywords:

rheumatoid arthritis, rheumatoid nodule, pulmonary changes







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