Familial Mediterranean Fever with Rheumatoid Arthritis Complicated by Pulmonary Paragonimiasis
A 42-year-old woman presented with an intermittent fever and chest and back pain, and an abnormal chest shadow was detected. She was diagnosed with paragonimiasis caused by Paragonimus westermani. Praziquantel therapy improved the abnormal chest shadow, but did not relieve her symptoms. She was also...
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| Veröffentlicht in: | Internal Medicine 2016/10/01, Vol.55(19), pp.2889-2892 |
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| creator | Nureki, Shin-ichi Ishii, Koji Fujisaki, Hideaki Torigoe, Masataka Maeshima, Keisuke Shibata, Hirotaka Miyazaki, Eishi Kadota, Jun-ichi |
| description | A 42-year-old woman presented with an intermittent fever and chest and back pain, and an abnormal chest shadow was detected. She was diagnosed with paragonimiasis caused by Paragonimus westermani. Praziquantel therapy improved the abnormal chest shadow, but did not relieve her symptoms. She was also diagnosed with familial Mediterranean fever (FMF), and colchicine therapy resolved her symptoms. She subsequently developed arthralgia and morning stiffness in her hands. We also diagnosed the patient with rheumatoid arthritis (RA), and corticosteroid and salazosulfapyridine therapy improved her symptoms. The existence of paragonimiasis complicated the diagnosis of FMF. The coexistence of FMF and RA is very rare, but does exist. |
| doi_str_mv | 10.2169/internalmedicine.55.6999 |
| format | Article |
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She was diagnosed with paragonimiasis caused by Paragonimus westermani. Praziquantel therapy improved the abnormal chest shadow, but did not relieve her symptoms. She was also diagnosed with familial Mediterranean fever (FMF), and colchicine therapy resolved her symptoms. She subsequently developed arthralgia and morning stiffness in her hands. We also diagnosed the patient with rheumatoid arthritis (RA), and corticosteroid and salazosulfapyridine therapy improved her symptoms. The existence of paragonimiasis complicated the diagnosis of FMF. The coexistence of FMF and RA is very rare, but does exist.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.55.6999</identifier><identifier>PMID: 27725555</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Adrenal Cortex Hormones - therapeutic use ; Adult ; Animals ; Arthritis, Rheumatoid - complications ; Arthritis, Rheumatoid - drug therapy ; Case Report ; Colchicine - therapeutic use ; familial Mediterranean fever ; Familial Mediterranean Fever - complications ; Familial Mediterranean Fever - diagnosis ; Familial Mediterranean Fever - drug therapy ; Female ; Humans ; paragonimiasis ; Paragonimiasis - complications ; Paragonimiasis - drug therapy ; Paragonimus westermani ; Praziquantel - therapeutic use ; rheumatoid arthritis ; Sulfasalazine</subject><ispartof>Internal Medicine, 2016/10/01, Vol.55(19), pp.2889-2892</ispartof><rights>2016 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c615t-496554472f4834bf747fe571411f837d812b4a7f083a9727b269137a7bc105e03</citedby><cites>FETCH-LOGICAL-c615t-496554472f4834bf747fe571411f837d812b4a7f083a9727b269137a7bc105e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088556/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088556/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1882,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27725555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nureki, Shin-ichi</creatorcontrib><creatorcontrib>Ishii, Koji</creatorcontrib><creatorcontrib>Fujisaki, Hideaki</creatorcontrib><creatorcontrib>Torigoe, Masataka</creatorcontrib><creatorcontrib>Maeshima, Keisuke</creatorcontrib><creatorcontrib>Shibata, Hirotaka</creatorcontrib><creatorcontrib>Miyazaki, Eishi</creatorcontrib><creatorcontrib>Kadota, Jun-ichi</creatorcontrib><title>Familial Mediterranean Fever with Rheumatoid Arthritis Complicated by Pulmonary Paragonimiasis</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 42-year-old woman presented with an intermittent fever and chest and back pain, and an abnormal chest shadow was detected. She was diagnosed with paragonimiasis caused by Paragonimus westermani. Praziquantel therapy improved the abnormal chest shadow, but did not relieve her symptoms. She was also diagnosed with familial Mediterranean fever (FMF), and colchicine therapy resolved her symptoms. She subsequently developed arthralgia and morning stiffness in her hands. We also diagnosed the patient with rheumatoid arthritis (RA), and corticosteroid and salazosulfapyridine therapy improved her symptoms. The existence of paragonimiasis complicated the diagnosis of FMF. The coexistence of FMF and RA is very rare, but does exist.</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Adult</subject><subject>Animals</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>Arthritis, Rheumatoid - drug therapy</subject><subject>Case Report</subject><subject>Colchicine - therapeutic use</subject><subject>familial Mediterranean fever</subject><subject>Familial Mediterranean Fever - complications</subject><subject>Familial Mediterranean Fever - diagnosis</subject><subject>Familial Mediterranean Fever - drug therapy</subject><subject>Female</subject><subject>Humans</subject><subject>paragonimiasis</subject><subject>Paragonimiasis - complications</subject><subject>Paragonimiasis - drug therapy</subject><subject>Paragonimus westermani</subject><subject>Praziquantel - therapeutic use</subject><subject>rheumatoid arthritis</subject><subject>Sulfasalazine</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1uEzEUhS1ERUPhFdAs2Uw6_hvbG6QqIlCpqKhqt1h3Jp6MK48dbE8r3h5HCREgFnhxbcnfPT6-B6EKN0uCW3VpfTbRg5vMxvbWmyXny1Yp9QItMGWqFoTyl2jRKCxrUso5ep3SY9NQKRR5hc6JEISXtUDf1jBZZ8FVX4pWUY3gDfhqbZ5MrJ5tHqu70cwT5GA31VXMY7TZpmoVpp2zPWSzqbof1dfZTcFDLCeIsA3eThaSTW_Q2QAumbfH_QI9rD_erz7XN7efrldXN3XfYp5rplrOGRNkYJKybhBMDIYLzDAeJBUbiUnHQAyNpKAEER1pFaYCRNfjhpuGXqAPB93d3JWh9MbnCE7vop2KKR3A6j9vvB31Njxp3kjJeVsE3h8FYvg-m5T1ZFNvnCvjCHPSuNigRCiM_wflVHJM9qg8oH0MKUUznBzhRu-T1H8nqTnX-yRL67vff3Rq_BVdAW4PwGPKsDUnAGK2vTP_VMZqX49PnMh-hKiNpz8BULW-GA</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Nureki, Shin-ichi</creator><creator>Ishii, Koji</creator><creator>Fujisaki, Hideaki</creator><creator>Torigoe, Masataka</creator><creator>Maeshima, Keisuke</creator><creator>Shibata, Hirotaka</creator><creator>Miyazaki, Eishi</creator><creator>Kadota, Jun-ichi</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope><scope>5PM</scope></search><sort><creationdate>20160101</creationdate><title>Familial Mediterranean Fever with Rheumatoid Arthritis Complicated by Pulmonary Paragonimiasis</title><author>Nureki, Shin-ichi ; Ishii, Koji ; Fujisaki, Hideaki ; Torigoe, Masataka ; Maeshima, Keisuke ; Shibata, Hirotaka ; Miyazaki, Eishi ; Kadota, Jun-ichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c615t-496554472f4834bf747fe571411f837d812b4a7f083a9727b269137a7bc105e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Adult</topic><topic>Animals</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Arthritis, Rheumatoid - drug therapy</topic><topic>Case Report</topic><topic>Colchicine - therapeutic use</topic><topic>familial Mediterranean fever</topic><topic>Familial Mediterranean Fever - complications</topic><topic>Familial Mediterranean Fever - diagnosis</topic><topic>Familial Mediterranean Fever - drug therapy</topic><topic>Female</topic><topic>Humans</topic><topic>paragonimiasis</topic><topic>Paragonimiasis - complications</topic><topic>Paragonimiasis - drug therapy</topic><topic>Paragonimus westermani</topic><topic>Praziquantel - therapeutic use</topic><topic>rheumatoid arthritis</topic><topic>Sulfasalazine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nureki, Shin-ichi</creatorcontrib><creatorcontrib>Ishii, Koji</creatorcontrib><creatorcontrib>Fujisaki, Hideaki</creatorcontrib><creatorcontrib>Torigoe, Masataka</creatorcontrib><creatorcontrib>Maeshima, Keisuke</creatorcontrib><creatorcontrib>Shibata, Hirotaka</creatorcontrib><creatorcontrib>Miyazaki, Eishi</creatorcontrib><creatorcontrib>Kadota, Jun-ichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nureki, Shin-ichi</au><au>Ishii, Koji</au><au>Fujisaki, Hideaki</au><au>Torigoe, Masataka</au><au>Maeshima, Keisuke</au><au>Shibata, Hirotaka</au><au>Miyazaki, Eishi</au><au>Kadota, Jun-ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Familial Mediterranean Fever with Rheumatoid Arthritis Complicated by Pulmonary Paragonimiasis</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>55</volume><issue>19</issue><spage>2889</spage><epage>2892</epage><pages>2889-2892</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 42-year-old woman presented with an intermittent fever and chest and back pain, and an abnormal chest shadow was detected. She was diagnosed with paragonimiasis caused by Paragonimus westermani. Praziquantel therapy improved the abnormal chest shadow, but did not relieve her symptoms. She was also diagnosed with familial Mediterranean fever (FMF), and colchicine therapy resolved her symptoms. She subsequently developed arthralgia and morning stiffness in her hands. We also diagnosed the patient with rheumatoid arthritis (RA), and corticosteroid and salazosulfapyridine therapy improved her symptoms. The existence of paragonimiasis complicated the diagnosis of FMF. The coexistence of FMF and RA is very rare, but does exist.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>27725555</pmid><doi>10.2169/internalmedicine.55.6999</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PubMed Central Open Access; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central |
| subjects | Adrenal Cortex Hormones - therapeutic use Adult Animals Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - drug therapy Case Report Colchicine - therapeutic use familial Mediterranean fever Familial Mediterranean Fever - complications Familial Mediterranean Fever - diagnosis Familial Mediterranean Fever - drug therapy Female Humans paragonimiasis Paragonimiasis - complications Paragonimiasis - drug therapy Paragonimus westermani Praziquantel - therapeutic use rheumatoid arthritis Sulfasalazine |
| title | Familial Mediterranean Fever with Rheumatoid Arthritis Complicated by Pulmonary Paragonimiasis |
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