Familial Mediterranean Fever with Rheumatoid Arthritis Complicated by Pulmonary Paragonimiasis
| Autor: | Hirotaka Shibata, Masataka Torigoe, Jun-ichi Kadota, Keisuke Maeshima, Koji Ishii, Eishi Miyazaki, Shin-ichi Nureki, Hideaki Fujisaki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Thorax
rheumatoid arthritis Adult Paragonimus westermani medicine.medical_specialty Paragonimiasis Arthritis Familial Mediterranean fever Case Report Praziquantel Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Sulfasalazine Adrenal Cortex Hormones parasitic diseases Internal Medicine medicine Back pain Animals Humans 030212 general & internal medicine 030203 arthritis & rheumatology biology business.industry General Medicine medicine.disease biology.organism_classification Dermatology Familial Mediterranean Fever Rheumatoid arthritis Female medicine.symptom business Colchicine medicine.drug |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | A 42-year-old woman presented with an intermittent fever and chest and back pain, and an abnormal chest shadow was detected. She was diagnosed with paragonimiasis caused by Paragonimus westermani. Praziquantel therapy improved the abnormal chest shadow, but did not relieve her symptoms. She was also diagnosed with familial Mediterranean fever (FMF), and colchicine therapy resolved her symptoms. She subsequently developed arthralgia and morning stiffness in her hands. We also diagnosed the patient with rheumatoid arthritis (RA), and corticosteroid and salazosulfapyridine therapy improved her symptoms. The existence of paragonimiasis complicated the diagnosis of FMF. The coexistence of FMF and RA is very rare, but does exist. |
| Databáze: | OpenAIRE |
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