Rheumatoid arthritis associated recurrent pleural effusion
Pleural effusions and pulmonary nodules are known complications of rheumatoid arthritis (RA) though pleural extra-articular manifestations without clinical arthritis are rare. We present a 66-year-old male with dyspnea and weight loss, whose imaging revealed pleural effusions and lung nodules, multi...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Respiratory Medicine Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007124001527 |
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| author | Ramsha Abbas Muhammad Ahmed Khan Anthony El Khoury AlBatool AlMahdy Mohammad Abu Hishmeh |
| author_facet | Ramsha Abbas Muhammad Ahmed Khan Anthony El Khoury AlBatool AlMahdy Mohammad Abu Hishmeh |
| author_sort | Ramsha Abbas |
| collection | DOAJ |
| description | Pleural effusions and pulmonary nodules are known complications of rheumatoid arthritis (RA) though pleural extra-articular manifestations without clinical arthritis are rare. We present a 66-year-old male with dyspnea and weight loss, whose imaging revealed pleural effusions and lung nodules, multiple exudative pleural effusions, and a thoracoscopic biopsy showing chronic pleuritis and granulomatous inflammation. Subsequent joint stiffness and positive rheumatoid markers led to a RA diagnosis. Patient received prednisone and methotrexate, leading to symptomatic improvement but with recurrent pleural effusions, requiring regular thoracenteses. RA can cause pleural effusions and lung nodules without arthritis necessitating advanced treatments for persistent effusions. |
| format | Article |
| id | doaj-art-a7369efc29a54576a48df5ec38b8186e |
| institution | OA Journals |
| issn | 2213-0071 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj-art-a7369efc29a54576a48df5ec38b8186e2025-08-20T02:38:11ZengElsevierRespiratory Medicine Case Reports2213-00712024-01-015210212910.1016/j.rmcr.2024.102129Rheumatoid arthritis associated recurrent pleural effusionRamsha Abbas0Muhammad Ahmed Khan1Anthony El Khoury2AlBatool AlMahdy3Mohammad Abu Hishmeh4Department of Internal Medicine, UMass Chan Medical School-Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199, USA; Corresponding author. 759 Chestnut Street, Springfield, MA, 01199, USA.Department of Internal Medicine, UMass Chan Medical School-Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199, USADepartment of Pulmonary & Critical Care Medicine, UMass Chan Medical School-Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199, USADepartment of Pathology, UMass Chan Medical School-Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199, USADepartment of Pulmonary & Critical Care Medicine, UMass Chan Medical School-Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199, USAPleural effusions and pulmonary nodules are known complications of rheumatoid arthritis (RA) though pleural extra-articular manifestations without clinical arthritis are rare. We present a 66-year-old male with dyspnea and weight loss, whose imaging revealed pleural effusions and lung nodules, multiple exudative pleural effusions, and a thoracoscopic biopsy showing chronic pleuritis and granulomatous inflammation. Subsequent joint stiffness and positive rheumatoid markers led to a RA diagnosis. Patient received prednisone and methotrexate, leading to symptomatic improvement but with recurrent pleural effusions, requiring regular thoracenteses. RA can cause pleural effusions and lung nodules without arthritis necessitating advanced treatments for persistent effusions.http://www.sciencedirect.com/science/article/pii/S2213007124001527 |
| spellingShingle | Ramsha Abbas Muhammad Ahmed Khan Anthony El Khoury AlBatool AlMahdy Mohammad Abu Hishmeh Rheumatoid arthritis associated recurrent pleural effusion Respiratory Medicine Case Reports |
| title | Rheumatoid arthritis associated recurrent pleural effusion |
| title_full | Rheumatoid arthritis associated recurrent pleural effusion |
| title_fullStr | Rheumatoid arthritis associated recurrent pleural effusion |
| title_full_unstemmed | Rheumatoid arthritis associated recurrent pleural effusion |
| title_short | Rheumatoid arthritis associated recurrent pleural effusion |
| title_sort | rheumatoid arthritis associated recurrent pleural effusion |
| url | http://www.sciencedirect.com/science/article/pii/S2213007124001527 |
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