Pulmonary nodules in a patient with rheumatoid arthritis: Which diagnostic approach is the most appropiate?

Authors

  • Fautrel Bruno Department of Rheumatology, Pitié Salpetrière Hospital, Paris, France
  • Ines Mahmoud Department Of Rheumatology, Charles Nicolle, Tunis, Tunisia.
  • Leila Gafsi Department Of Rheumatology, Charles Nicolle, Tunis, Tunisia.
  • Olfa Saidane Department Of Rheumatology, Charles Nicolle, Tunis, Tunisia.
  • Rawdha Tekaya Department Of Rheumatology, Charles Nicolle, Tunis, Tunisia.
Abstract:

Background: Pulmonary nodular excavation should firstly evoke tuberculosis or necrosis broncho-pulmonary tumor, particularly: epidermoid carcinoma. The case discussed here illustrated these difficulties in patients with rheumatoid arthritis (RA). Case Presentation: A 63-year-old woman was presented with a-three-year history of RA and a recent discovery of an excavated pulmonary nodule. Initial investigations focused on a rheumatoid origin. The evolution of the disease was worrisome and surgical exploration was deemed mandatory. The result was the discovery of a nodule of a malignant nature. Conclusion: In this paper, we discussed the excavation of the pulmonary nodule, its diagnoses and management of the difficulties we encountered.

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Journal title

volume 8  issue None

pages  220- 222

publication date 2017-06

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