Rheumatoid lung nodules with hydropneumothorax

Rguibi, Mustapha Idrissi; Abouzaher, M.; Kherass, B.; Ouarssani, A.; Rhorfi, I.A.; Talhaoui, M.; Ouazzani, Hafsa El; Bouchentouf, R.; Gharbaoui, Y.; Abid, A.; Tahiri, K. Alaoui

doi:10.1016/s1297-319x(03)00104-0

Cited by 2 publications

(1 citation statement)

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“…Los nódulos cavitados pueden complicarse originando abscesos, neumotórax y fistula broncopleural. 1,5 Pueden calcificarse y asociarse con neumoconiosis (síndrome de Caplan). 6 La TAC de tórax es la técnica radiológica más útil para identificar y definir las características de los nódulos, morfología, densidad, tamaño y permite seguir su evolución.…”

Section: Discussionunclassified

Nódulos reumatoides pulmonares

Bouchentouf

2020

spmi

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La artritis reumatoide (AR) es una enfermedad sistémica que puede asociar compromiso respiratorio. La enfermedad pulmonar intersticial y el derrame pleural son las manifestaciones torácicas más frecuentes de la AR. Los nódulos reumatoides pulmonares son infrecuentes y aparecen tardíamente en el curso de la enfermedad. Su presentación clínica y radiológica puede confundirse con tuberculosis, infecciones fúngicas y cáncer pulmonar. Presentamos un caso de una mujer de 55 años de edad con el diagnostico de artritis reumatoide seropositiva y en quien se documentan nódulos pulmonares.

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Section: Discussionunclassified

Nódulos reumatoides pulmonares

Bouchentouf

2020

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Pseudochylothorax Combined with Spontaneous Pneumothorax: Case Report of a Rare Complication of Rheumatoid Arthritis

Rosa

Maia

Caires

et al. 2018

Case Reports in Medicine

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Pleural involvement is the most frequent thoracic complication of rheumatoid arthritis (RA), usually occurring in patients with known RA. Typical rheumatoid pleural effusion is an exudate characterized by low pH and glucose levels and high LDH activity. Rarely, it has features of pseudochylothorax. Other uncommon complications are pneumothorax, hydropneumothorax, empyema, and bronchopleural fistula. The case of a 51-year-old man with a spontaneous, small, and asymptomatic hydropneumothorax with features of pseudochylothorax is presented. After careful clinical and laboratory evaluation, he was diagnosed with rheumatoid arthritis, and we admitted that the pleural changes were secondary to the connective tissue disease. He started immunosuppressive treatment and maintained stability during follow-up, without need of specific pleural treatment. We hypothesized that the pleural nodule found on the chest computed tomography scan was related with the simultaneous occurrence of pleural effusion and pneumothorax. This is a rare presentation and complication of RA, highlighting the utility of a comprehensive clinical and laboratory evaluation and focusing on the importance of pleural rheumatoid nodules in the pathogenesis of RA pleural disease.

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Rheumatoid lung nodules with hydropneumothorax

Cited by 2 publications

References 1 publication

Nódulos reumatoides pulmonares

Nódulos reumatoides pulmonares

Pseudochylothorax Combined with Spontaneous Pneumothorax: Case Report of a Rare Complication of Rheumatoid Arthritis

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