TY - JOUR JO - Reumatologia/Rheumatology SN - 0034-6233 VL - 53 IS - 5 PY - 2015 ID - Sargin2015 TI - Multiple pulmonary rheumatoid nodules AB - 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. AU - Sargin, Gokhan AU - Senturk, Taskin SP - 276 EP - 278 DA - 2015 DO - 10.5114/reum.2015.55831 UR - http://dx.doi.org/10.5114/reum.2015.55831 ER -