Pritikin J D, Jensen W A, Yenokida G G, Kirsch C M, Fainstat M
Department of Medicine, Santa Clara Valley Medical Center, CA 95128.
J Rheumatol. 1990 May;17(5):673-5.
A patient with rheumatoid arthritis (RA) and chronic obstructive lung disease was admitted with respiratory failure due to a massive pleural effusion. An extensive evaluation proved the effusion to be of rheumatoid origin. The effusion resolved with prednisone and penicillamine therapy. Although pleural effusions associated with RA are common, massive effusions are rare and respiratory failure from a rheumatoid pleural effusion has not been reported.
一名患有类风湿性关节炎（RA）和慢性阻塞性肺疾病的患者因大量胸腔积液导致呼吸衰竭入院。广泛评估证实该积液源于类风湿性疾病。积液在泼尼松和青霉胺治疗后消退。虽然与RA相关的胸腔积液很常见，但大量积液很少见，且类风湿性胸腔积液导致呼吸衰竭的情况尚未见报道。
