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[Pulmonary fibrosis and autoimmune manifestations. A diagnostic problem]
V J González Ramallo1, A Muiño Miguez, E Rodríguez de Castro
1Servicio de Medicina Interna III, Hospital General Gregorio Marañón, Universidad Complutense, Madrid.
Abstract:
A case of 54-year-old male who, during the development of a pulmonary fibrosis, showed extrapulmonary autoimmune symptoms (polyarthritis and hemolytic anemia), is presented. The antinuclear antibodies and rheumatoid factor positives have been described in up to 30% of the idiopathic pulmonary fibrosis, complicating the differential diagnosis with lung fibrosis caused by alterations of connective tissue. We discuss the prognosis and treatment of this difficult diagnosis.