Pulmonary nodules in a patient with rheumatoid arthritis: Which diagnostic approach is the most appropriate?
作者信息
Mahmoud Ines, Tekaya Aicha Ben, Tekaya Rawdha, Saidane Olfa, Gafsi Leila, Benhammou Mathilde, Bruno Fautrel, Abdelmoula Leila
机构信息
Department of Rheumatology, Charles Nicolle, Tunis, Tunisia.
Department of Rheumatology, Pitié Salpetrière Hospital, Paris, France.
出版信息
Caspian J Intern Med. 2017 Summer;8(3):220-222. doi: 10.22088/cjim.8.3.220.
BACKGROUND
Pulmonary nodular excavation should firstly evoke tuberculosis or necrosis broncho-pulmonary tumor, particularly: epidermoid carcinoma. The case discussed here illustrated these difficulties in patients with rheumatoid arthritis (RA).
CASE PRESENTATION
A 63-year-old woman was presented with a-three-year history of RA and a recent discovery of an excavated pulmonary nodule. Initial investigations focused on a rheumatoid origin. The evolution of the disease was worrisome and surgical exploration was deemed mandatory. The result was the discovery of a nodule of a malignant nature.
CONCLUSION
In this paper, we discussed the excavation of the pulmonary nodule, its diagnoses and management of the difficulties we encountered.
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