Interstitial Lung Disease of the UIP Variant as the Only Presenting Symptom of Rheumatoid ArthritisReportar como inadecuado

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Case Reports in Pulmonology - Volume 2015 2015, Article ID 205175, 5 pages -

Case ReportDepartment of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA

Received 29 March 2015; Revised 22 May 2015; Accepted 26 May 2015

Academic Editor: Fabio Midulla

Copyright © 2015 Abhinav Agrawal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Rheumatoid arthritis is a chronic inflammatory disease primarily manifesting with symptoms of joint pain. It also involves multiple organ systems in the body, including the lungs. Interstitial lung disease ILD is the most common form of pulmonary involvement in rheumatoid arthritis RA. Without the typical symptoms such as chronic joint pain, establishing the diagnosis of RA could be quite challenging and a high index of suspicion is thereby required to diagnose ILD in patients with RA, thereby delaying treatment and increasing morbidity and mortality. We report a case of a 67-year-old Hispanic male with no previous history of rheumatoid arthritis or symptoms of typical joint pain who comes to the hospital only with the chief complaints of progressive worsening of shortness of breath for a duration of 6 months and was eventually diagnosed with ILD of the usual interstitial pneumonia variant with serologies positive for rheumatoid arthritis.

Autor: Abhinav Agrawal, Braghadheeswar Thyagarajan, Sidney Ceniza, and Syed Hasan Yusuf



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