Downloaded from https://academic.oup.com/rheumatology/article-abstract/57/10/1720/4970492 by Ed 'DeepDyve' Gillespie user on 17 October 2018 Y. K. Onno Teng et al. 98 Al Arfaj AS, Khalil N. Pregnancy outcome in 396 preg- 99 Taylor J. The first ESC guidelines on the management of nancies in patients with SLE in Saudi Arabia. Lupus cardiovascular diseases during pregnancy. Eur Heart J 2010;19:166573. 2011;32:30556. Rheumatology 2018;57:1720 doi:10.1093/rheumatology/key114 Clinical vignette Advance Access publication 13 April 2018 Lung involvement in polymyalgia rheumatica Funding: No specific funding was received from any bodies in the public, commercial or not-for-profit sectors to carry out the work described in this manuscript. A 72-year-old man presented with a 4-week history of cough- ing and pain in the shoulders and hips, with morning stiffness. Disclosure statement: The author has declared no conflict of Physical examination revealed a limited range of motion of the interest. shoulder and hip joints owing to pain. The temporal arteries were neither tender nor pulseless. Serum ESR was high. A Takeshi Kondo chest radiograph showed an infiltrate in the left upper lobe and nodular opacities in the right middle and lower lobes Department of General Medicine, Chiba University Hospital, (Fig. 1A). PET/CT demonstrated accumulation of fluorodeox- Chiba, Japan yglucose 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 (Fig. 1BE). Large vessels were not affected. Transbronchial Medicine, Chiba University Hospital, 1-8-1, Inohana, Chuo-ku, Chiba City, Chiba 260-8677, Japan. lung biopsy identified organizing pneumonia. A diagnosis of E-mail: email@example.com organizing pneumonia associated with PMR was made. His 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. symptoms and chest radiological abnormalities resolved after treatment with oral prednisolone. Interstitial lung diseases, References which are histopathologically classified into usual interstitial pneumonia, non-specific interstitial pneumonia, organizing 1 Gutsche M, Rosen GD, Swigris JJ. Connective tissue pneumonia with diffuse alveolar damage, and lymphocytic disease-associated interstitial lung disease: a review. Curr interstitial pneumonia, are encountered in patients with vari- Respir Care Rep 2012;1:22432. ous CTDs . Although lung involvement is very rare in PMR, 2 Stey C, Truninger K, Marti D, Vogt P, Medici TC. temporal arteritis and GCA, organizing pneumonia can be a Bronchiolitis obliterans organizing pneumonia associated lung manifestation of PMR . 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: firstname.lastname@example.org 1720 https://academic.oup.com/rheumatology
Rheumatology – Oxford University Press
Published: Oct 1, 2018
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