Atypical presentation of rheumatoid arthritis: a case of massive bilateral pleural effusions in a patient with Caplan syndrome.

Autor:	Wu Y; School of Medicine, University of Maryland Baltimore, Baltimore, Maryland, USA., Dittmar PC; Medicine, University of Maryland Baltimore, Baltimore, Maryland, USA pdittmar@som.umaryland.edu.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2019 Oct 25; Vol. 12 (10). Date of Electronic Publication: 2019 Oct 25.
DOI:	10.1136/bcr-2019-231899
Abstrakt:	Rheumatoid arthritis (RA) is a common connective tissue disorder affecting the synovial joints. In patients with RA, involvement of the lungs occurs in 30%-40% of cases while pleural effusions occur in only 3%-5%. However, the majority of RA-associated pleural effusions are small, unilateral and asymptomatic. We present a case of massive bilateral pleural effusions in a patient with established rheumatoid pneumoconiosis (Caplan syndrome). Interestingly, the pleural effusion occurred following recent treatment for minimal change disease and atrial fibrillation. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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