Neumonía organizada como forma de presentación de una artritis reumatoide
- Verónica Temprado 1
- Laura Manzanedo 1
- Gloria Alonso 1
- Antonio Chamorro 1
- 1 Servicio de Medicina Interna. Hospital Clínico de Salamanca. SACYL Salamanca
ISSN: 0304-4866, 1989-3922
Ano de publicación: 2015
Volume: 76
Número: 3
Páxinas: 127-129
Tipo: Artigo
Outras publicacións en: Galicia Clínica
Resumo
Organizing pneumonia (OP) is an interstitial lung disease which may be associated to rheumatoid arthritis (RA). Normally, pulmonary involvement appears after years of evolution of the joint manifestations, being the concomitant appearance of both processes less common. We present the case of a 79-year-old woman who presented with cough and dyspnea together with joint inflammation and serological criteria for RA. The thoracic X-ray and the CAT scan revealed a bibasilar alveolar infiltrate with air bronchogram. The severe pulmonary manifestations of OP caused the hospital admission and were essential for the final diagnosis of RA. The patient received treatment with corticosteroids with an excellent response