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Bronchocentric granulomatosis in a patient with rheumatoid arthritis
Cemal Bes1, Ali Kılıçgün, Fahrettin Talay
1Department of Rheumatology, Abant Izzet Baysal University Medical School, Bolu, Turkey. cemalbes@hotmail.com
Abstract:
Bronchocentric granulomatosis is an uncommon entity which has no specific clinical, radiological and immunological features. It is usually diagnosed at morphological examination of biopsy or resected lung material. Aetiology of bronchocentric granulomatosis is unclear. A 49-year-old female patient, who was followed up with diagnosis rheumatoid arthritis in our outpatient clinic, presented with right lobe nodular lesion in chest radiography. Right thoracotomy and wedge resection was performed. Pathological examination revealed bronchocentric granulomatosis. Bronchocentric granulomatosis has been rarely reported in rheumatoid arthritis. This case might be a proof that bronchocentric granulomatosis may be one of the respiratory manifestations of rheumatoid arthritis.
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