Lung involvement in polymyalgia rheumatica

Lung involvement in polymyalgia rheumatica Rheumatology 2018;0:1 Clinical Vignette doi:10.1093/rheumatology/key114 Lung involvement in polymyalgia rheumatica Funding: No specific funding was received from any bodies in the public, commercial or not-for-profit sectors A 72-year-old man presented with a 4-week history of to carry out the work described in this manuscript. coughing and pain in the shoulders and hips, with morning stiffness. Physical examination revealed a limited range of motion of the shoulder and hip joints owing to pain. The Disclosure statement: The author has declared no conflict temporal arteries were neither tender nor pulseless. of interest. Serum ESR was high. A chest radiograph showed an in- Takeshi Kondo filtrate in the left upper lobe and nodular opacities in the right middle and lower lobes (Fig. 1A). PET/CT Department of General Medicine, Chiba University Hospital, demonstrated accumulation of fluorodeoxyglucose in the Chiba, Japan FIG.1 Chest radiograph and PET/CT (A) Chest radiograph showing an infiltrate in the left upper lobe and nodular opacities in the right middle and lower lobes. (BE) PET/CT showing accumulation of fluorodeoxyglucose in the shoulder joints, lateral sides of the greater trochanters, the right ischial tuberosity and the lung lesions. Correspondence to: Takeshi Kondo, Department of General shoulder joints, lateral sides of the greater trochanters, the Medicine, Chiba University Hospital, 1-8-1, Inohana, Chuo- right ischial tuberosity and the lung lesions (Fig. 1BE). ku, Chiba City, Chiba 260-8677, Japan. Large vessels were not affected. Transbronchial lung E-mail: reds_liverpool_2005@yahoo.co.jp biopsy identified organizing pneumonia. A diagnosis of organizing pneumonia associated with PMR was made. His symptoms and chest radiological abnormalities resolved after treatment with oral prednisolone. Interstitial lung diseases, which are histopathologically References classified into usual interstitial pneumonia, non-specific interstitial pneumonia, organizing pneumonia with diffuse 1 Gutsche M, Rosen GD, Swigris JJ. Connective tissue disease-associated interstitial lung disease: a review. Curr alveolar damage, and lymphocytic interstitial pneumonia, Respir Care Rep 2012;1:22432. are encountered in patients with various CTDs [1]. Although lung involvement is very rare in PMR, temporal 2 Stey C, Truninger K, Marti D, Vogt P, Medici TC. arteritis and GCA, organizing pneumonia can be a lung Bronchiolitis obliterans organizing pneumonia associated manifestation of PMR [2]. with polymyalgia rheumatica. Eur Respir J 1999;13:9269. The Author(s) 2018. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com Downloaded from https://academic.oup.com/rheumatology/advance-article-abstract/doi/10.1093/rheumatology/key114/4970492 by Ed 'DeepDyve' Gillespie user on 08 June 2018 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Rheumatology Oxford University Press

Lung involvement in polymyalgia rheumatica

Rheumatology , Volume Advance Article – Apr 13, 2018
Free
1 page

Loading next page...
1 Page
 
/lp/ou_press/lung-involvement-in-polymyalgia-rheumatica-tNv8d2dTgb
Publisher
Oxford University Press
Copyright
© The Author(s) 2018. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com
ISSN
1462-0324
eISSN
1462-0332
D.O.I.
10.1093/rheumatology/key114
Publisher site
See Article on Publisher Site

Abstract

Rheumatology 2018;0:1 Clinical Vignette doi:10.1093/rheumatology/key114 Lung involvement in polymyalgia rheumatica Funding: No specific funding was received from any bodies in the public, commercial or not-for-profit sectors A 72-year-old man presented with a 4-week history of to carry out the work described in this manuscript. coughing and pain in the shoulders and hips, with morning stiffness. Physical examination revealed a limited range of motion of the shoulder and hip joints owing to pain. The Disclosure statement: The author has declared no conflict temporal arteries were neither tender nor pulseless. of interest. Serum ESR was high. A chest radiograph showed an in- Takeshi Kondo filtrate in the left upper lobe and nodular opacities in the right middle and lower lobes (Fig. 1A). PET/CT Department of General Medicine, Chiba University Hospital, demonstrated accumulation of fluorodeoxyglucose in the Chiba, Japan FIG.1 Chest radiograph and PET/CT (A) Chest radiograph showing an infiltrate in the left upper lobe and nodular opacities in the right middle and lower lobes. (BE) PET/CT showing accumulation of fluorodeoxyglucose in the shoulder joints, lateral sides of the greater trochanters, the right ischial tuberosity and the lung lesions. Correspondence to: Takeshi Kondo, Department of General shoulder joints, lateral sides of the greater trochanters, the Medicine, Chiba University Hospital, 1-8-1, Inohana, Chuo- right ischial tuberosity and the lung lesions (Fig. 1BE). ku, Chiba City, Chiba 260-8677, Japan. Large vessels were not affected. Transbronchial lung E-mail: reds_liverpool_2005@yahoo.co.jp biopsy identified organizing pneumonia. A diagnosis of organizing pneumonia associated with PMR was made. His symptoms and chest radiological abnormalities resolved after treatment with oral prednisolone. Interstitial lung diseases, which are histopathologically References classified into usual interstitial pneumonia, non-specific interstitial pneumonia, organizing pneumonia with diffuse 1 Gutsche M, Rosen GD, Swigris JJ. Connective tissue disease-associated interstitial lung disease: a review. Curr alveolar damage, and lymphocytic interstitial pneumonia, Respir Care Rep 2012;1:22432. are encountered in patients with various CTDs [1]. Although lung involvement is very rare in PMR, temporal 2 Stey C, Truninger K, Marti D, Vogt P, Medici TC. arteritis and GCA, organizing pneumonia can be a lung Bronchiolitis obliterans organizing pneumonia associated manifestation of PMR [2]. with polymyalgia rheumatica. Eur Respir J 1999;13:9269. The Author(s) 2018. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com Downloaded from https://academic.oup.com/rheumatology/advance-article-abstract/doi/10.1093/rheumatology/key114/4970492 by Ed 'DeepDyve' Gillespie user on 08 June 2018

Journal

RheumatologyOxford University Press

Published: Apr 13, 2018

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off