Zielonka Tadeusz M, Bareła Dagmara, Zukowska Małgorzata, Langfort Renata, Rudziński Piotr, Chazan Ryszarda
Katedra i Klinika Chorób Wewnetrznych, Pneumonologii i Alergologii Akademii Medycznej w Warszawie.
Pol Arch Med Wewn. 2005 Aug;114(2):779-84.
A case of a 56-years old male with rheumatoid arthritis and unclear tumoral radiological changes in the lungs was described. Since noninvasive diagnostic procedures failed to explain nature of the pulmonary changes, an open pulmonary biopsy was performed. Pathological examination revealed presence of rheumatoid nodules and pneumoconiosis, typical for Caplan's syndrome. In the past, the patient had been working in foundry industry for 16 years and he had been exposed to silica and iron dust. Articular symptoms were revealed prior to finding the lung changes even dust exposure had occurred many years earlier. In spite of the fact that rheumatoid arthritis is a relatively common disease and pneumoconiosis is also not rare entity, the coexistence of both conditions i.e. Caplan's syndrome has been rarely diagnosed and described.
描述了一例56岁男性类风湿关节炎患者，肺部肿瘤样放射学改变不明确。由于非侵入性诊断程序无法解释肺部改变的性质，因此进行了开放性肺活检。病理检查显示存在类风湿结节和尘肺，这是卡普兰综合征的典型表现。该患者过去在铸造行业工作了16年，接触过二氧化硅和铁尘。尽管多年前就已接触粉尘，但在发现肺部改变之前就已出现关节症状。尽管类风湿关节炎是一种相对常见的疾病，尘肺也并非罕见，但这两种情况即卡普兰综合征同时存在的情况却很少被诊断和描述。
