Abstract

LEON-SIERRA, Lina Paola; CAJAS-SANTANA, Luis Javier  and  TORRES-SAAVEDRA, Fabio Andrés. Cavitating pulmonary nodule in rheumatoid arthritis: A case report. Rev.Colomb.Reumatol. [online]. 2018, vol.25, n.2, pp.146-148. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2017.07.003.

Pulmonary rheumatoid nodules are an uncommon extra-articular manifestation of rheumatoid arthritis (RA). Its study is important because the clinical and imaging presentation could be confused with tuberculosis, fungal infections, and/or lung neoplasms. Pulmonary nodules produce few symptoms and can lead to fatal complications such as pneumothorax, bronchopleural fistula, and a superinfection with abscess formation. The fundamental diagnostic confirmation is the histopathological study because it is an exclusion diagnosis. The treatment needs clinical follow-up as there is no targeted therapy, with Rituximab and Tocilizumab being used in severe cases. In general, their appearance tends to lead to a poorer prognosis of patients with RA.

Keywords : Rheumatoid arthritis; Rheumatoid nodule; Tuberculosis; Haemoptysis; Neoplasms; Rheumatoid arthritis; Rheumatoid nodule; Tuberculosis; Haemoptysis; Neoplasms.

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