Intrapulmonary rheumatoid nodules in a patient with long-standing rheumatoid arthritis treated with leflunomide

Ildiko Fanny Horvath, Antonia Szanto, Zoltan Csiki, Peter Szodoray, Margit Zeher

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Rheumatoid nodules are well established manifestations of rheumatoid arthritis but in the lungs they are very rare according to the literature. In our study we present the case of a 34-year-old woman with rheumatoid arthritis and secondary Sjögren's syndrome who developed multiplex rheumatoid nodules in the lungs 3 years after initiating leflunomide therapy. During leflunomide therapy we did not detect inflammation in the joints. Surprisingly, in November 2005 she started to cough, had low grade fever and low back pain. On the chest X-ray there were multiplex necrobiotic nodules in the lungs. All bacteriological, viral and fungal investigations including tuberculosis, serological tests and cytology were negative. The X-ray, video-associated thoracoscopy and repeated biopsy of the lung followed by histology of the samples proved intrapulmonary rheumatoid nodules, caused by leflunomide.

Original languageEnglish
Pages (from-to)101-104
Number of pages4
JournalPathology and Oncology Research
Volume14
Issue number1
DOIs
Publication statusPublished - Mar 1 2008

Keywords

  • Histological findings
  • Intrapulmonary rheumatoid nodules
  • Leflunomide
  • Video-associated thoracoscopy

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Oncology
  • Cancer Research

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