Bronchiolitis obliterans organizing pneumonia and rheumatoid arthritis

The case of a 68-year-old woman who presented with dyspnea and upper lobe pulmonary infiltrates and shortly thereafter developed seropositive, erosive polyarticular rheumatoid arthritis (RA) is presented. An open-lung biopsy to evaluate progression of infiltrates showed bronchiolitis obliterans-orga...

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Veröffentlicht in:	Seminars in arthritis and rheumatism 1993-08, Vol.23 (1), p.70-78
Hauptverfasser:	Ippolito, John A., Palmer, Lucy, Spector, Solomon, Kane, Philip B., Gorevic, Peter D.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Arthritis, Rheumatoid - diagnostic imaging Arthritis, Rheumatoid - drug therapy Arthritis, Rheumatoid - etiology Biological and medical sciences Bronchiolitis Obliterans - complications Bronchiolitis Obliterans - diagnostic imaging Bronchiolitis Obliterans - drug therapy Diseases of the osteoarticular system Female Humans Inflammatory joint diseases Medical sciences Pneumonia - complications Pneumonia - diagnostic imaging Pneumonia - drug therapy Prednisone - therapeutic use Radiography
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Beschreibung
Zusammenfassung:	The case of a 68-year-old woman who presented with dyspnea and upper lobe pulmonary infiltrates and shortly thereafter developed seropositive, erosive polyarticular rheumatoid arthritis (RA) is presented. An open-lung biopsy to evaluate progression of infiltrates showed bronchiolitis obliterans-organizing pneumonia (BOOP). Both lung and articular disease responded rapidly to corticosteroid therapy. Interrelationships between BOOP, bronchiolitis obliterans, and interstitial fibrosis with connective tissue disease are discussed.
ISSN:	0049-0172 1532-866X
DOI:	10.1016/S0049-0172(05)80027-7