A case of bronchiolitis obliterans organizing pneumonia in a patient with rheumatoid arthritis |
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| Authors: | T Kakazu H Kaneshima K Tamaki H Fukuhara M Miyagi H Nakamura Y Irabu K Shimoji K Kitsukawa Y Shigeno |
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| Institution: | First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus. |
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| Abstract: | A 54-year-old man with rheumatoid arthritis visited his general practitioner because of fever and cough. Chest X-ray showed an infiltrative shadow in the right lower field. Antibiotic treatment was not effective, and the specimens obtained by transbronchial lung biopsy was not diagnostic. The patient was transferred to our hospital for further examination and treatment. Previously he had been treated with prednisolone in the knee joint for rheumatoid arthritis. Open lung biopsy was performed. The specimen obtained showed bronchiolitis obliterans organizing pneumonia (BOOP) histologically. The patient recuperated and the chest X-ray shadow decreased with no therapy except the previous treatment with prednisolone. |
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