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Pseudochylothorax Combined with Spontaneous Pneumothorax: Case Report of a Rare Complication of Rheumatoid Arthritis
Joint Authors
Rosa, Raquel
Maia, Dionísio
Caires, Nídia
Gerardo, Rita
Gonçalves, Inês
Cardoso, João
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Pleural involvement is the most frequent thoracic complication of rheumatoid arthritis (RA), usually occurring in patients with known RA.
Typical rheumatoid pleural effusion is an exudate characterized by low pH and glucose levels and high LDH activity.
Rarely, it has features of pseudochylothorax.
Other uncommon complications are pneumothorax, hydropneumothorax, empyema, and bronchopleural fistula.
The case of a 51-3b2:?thyc=10 year-old3b2:?thyc man with a spontaneous, small, and asymptomatic hydropneumothorax with features of pseudochylothorax is presented.
After careful clinical and laboratory evaluation, he was diagnosed with rheumatoid arthritis, and we admitted that the pleural changes were secondary to the connective tissue disease.
He started immunosuppressive treatment and maintained stability during 3b2:?thyc=10 follow-up,3b2:?thyc without need of specific pleural treatment.
We hypothesized that the pleural nodule found on the chest computed tomography scan was related with the simultaneous occurrence of pleural effusion and pneumothorax.
This is a rare presentation and complication of RA, highlighting the utility of a comprehensive clinical and laboratory evaluation and focusing on the importance of pleural rheumatoid nodules in the pathogenesis of RA pleural disease.
American Psychological Association (APA)
Rosa, Raquel& Maia, Dionísio& Caires, Nídia& Gerardo, Rita& Gonçalves, Inês& Cardoso, João. 2018. Pseudochylothorax Combined with Spontaneous Pneumothorax: Case Report of a Rare Complication of Rheumatoid Arthritis. Case Reports in Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145053
Modern Language Association (MLA)
Rosa, Raquel…[et al.]. Pseudochylothorax Combined with Spontaneous Pneumothorax: Case Report of a Rare Complication of Rheumatoid Arthritis. Case Reports in Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145053
American Medical Association (AMA)
Rosa, Raquel& Maia, Dionísio& Caires, Nídia& Gerardo, Rita& Gonçalves, Inês& Cardoso, João. Pseudochylothorax Combined with Spontaneous Pneumothorax: Case Report of a Rare Complication of Rheumatoid Arthritis. Case Reports in Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145053
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145053