Organizing pneumonia as the initial presentation in rheumatoid arthritis – A case report

Article Sidebar

PDF HTML
Submitted: June 14, 2021
Published: Jun 25, 2021
DOI: 10.29328/journal.jprr.1001024
Keywords:
Rheumatoid arthritis, organizing pneumonia, Interstitial lung disease

Main Article Content

Harveen Kaur
Junior Resident, Department of Pulmonary Medicine, Government Medical College Amritsar, Punjab, India
Dilbag Singh
Junior Resident, Department of Pulmonary Medicine, Government Medical College Amritsar, Punjab, India
Naveen Pandhi
Professor and Head, Department of Pulmonary Medicine, Government Medical College Amritsar, Punjab, India

Abstract

Organizing pneumonia (OP), can be seen in association with lung injury, infection, drug intoxication, and connective tissue diseases. Patients of rheumatoid arthritis (RA) are prone to develop interstitial lung disease (ILD), but the pulmonary involvement usually occurs several years after the joint manifestations. Only in about 10% cases of RA, the initial manifestation of the disease can be in the form of interstitial lung disease. OP as the initial manifestation of RA is extremely uncommon occurrence.


Here is presented a case of 52-year-old male who presented with OP as the initial manifestation of RA. On investigation, the RA factor and anti-CCP Antibodies were positive. Based on clinical, radiological and histopathological findings the diagnosis was established.

Article Details

Kaur, H., Singh, D., & Pandhi, N. (2021). Organizing pneumonia as the initial presentation in rheumatoid arthritis – A case report. Journal of Pulmonology and Respiratory Research, 5(1), 051–053. https://doi.org/10.29328/journal.jprr.1001024
Case Reports

Copyright (c) 2021 Kaur H, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Cimmino MA, Salvarini C, Macchioni P, Montecucco C, Fossaluzza V, et al. Extra-articular manifestations in 587 Italian patients with rheumatoid arthritis. Rheumatol Int. 2000; 19: 213–217. PubMed: https://pubmed.ncbi.nlm.nih.gov/11063290/

Vij R, Noth I, Strek ME. Autoimmune-featured interstitial lung disease: a distinct entity. Chest. 2011; 140: 1292–1299. PubMed: https://pubmed.ncbi.nlm.nih.gov/21565966/

Mori S, Cho I, Koga J, Sugimoto M. Comparison of pulmonary abnormalities on high-resolution computed tomography in patients with early versus longstanding rheumatoid arthritis. J Rheumatol. 2008; 35: 1513–1521. PubMed: https://pubmed.ncbi.nlm.nih.gov/18597412/

Doyle TJ, Dellaripa PF, Batra K, Frits ML, Iannaccone CK, et al. Functional impact of a spectrum of interstial lung abnormalities in rheumatoid arthritis. Chest. 2014; 146: 41–50. PubMed: https://pubmed.ncbi.nlm.nih.gov/24305643/

Zou YQ, Li YS, Ding XN, Ying ZH. The clinical significance of HRCT in evaluation of patients with rheumatoid arthritis-associated interstitial lung disease: a report from China. Rheumatol Int. 2012; 32: 669–673. PubMed: https://pubmed.ncbi.nlm.nih.gov/21132550/

Kim EJ, Collard HR, King TE. Rheumatoid arthritis-associated ILD: the relevance of histopathological and radiographic pattern. Chest. 2009; 136: 1397–1405. PubMed: https://pubmed.ncbi.nlm.nih.gov/19892679/

Colby TV. Pathological aspects of bronchiolitis obliterans organizing pneumonia. Chest. 1992; 102: 38–43. PubMed: https://pubmed.ncbi.nlm.nih.gov/1623809/

Baque-Juston M, Pellegrin A, Leroy S, Marquette CH, Padovani B. Organizing pneumonia: What is it? A conceptual approach and pictorial review. Diagn Interv Imaging. 2014; 95: 771–777. PubMed: https://pubmed.ncbi.nlm.nih.gov/24559802/

Izumi T, Kitaichi M, Nishimura K, Nagai S. Bronchiolitis obliterans organizing pneumonia. Clinical features and differential diagnosis. Chest. 1992; 102: 715–719. PubMed: https://pubmed.ncbi.nlm.nih.gov/1516392/

Lee DM, Schur Ph. Clinical utility of the anti-CCP assay in patients with rheumatic diseases. Ann Rheum Dis. 2003; 62: 870–874. PubMed: https://pubmed.ncbi.nlm.nih.gov/12922961/