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Rheumatoid pleural effusion with nodular pleuritis. A rare presentation of rheumatoid arthritis

H Emmungil1, F Yıldız, M Y Gözükara

  • 1Department of Internal Medicine, Division of Rheumatology, Mersin State Hospital, Kuva-i milliye str., 35050, Mersin, Turkey, emmungil@mynet.com.

Zeitschrift Fur Rheumatologie
|August 7, 2014
PubMed

Insights

Rheumatoid pleural effusion and lung nodules can manifest concurrently with joint symptoms. Early diagnosis relies on a high index of suspicion and characteristic cytologic and histopathologic findings.

Area of Science:

  • Rheumatology
  • Pulmonology
  • Pathology

Background:

  • Rheumatoid disease can present with unusual thoracic complications like pleural effusion and lung nodules.
  • These manifestations typically occur after established joint disease but can precede or coincide with them.

Observation:

  • A 41-year-old female presented with simultaneous onset of rheumatoid pleural effusion, lung nodule, and joint symptoms.
  • Diagnostic procedures included thoracentesis and video-assisted thoracoscopic biopsy.

Findings:

  • The patient was diagnosed with rheumatoid pleuritis and nodular lung disease.
  • Cytologic and histopathologic examination of pleural effusion revealed characteristic features of rheumatoid pleuritis.

Implications:

  • This case highlights the importance of considering thoracic manifestations in early rheumatoid disease.
  • A high index of suspicion is crucial for diagnosing rheumatoid pleuritis and nodular disease, especially when presenting concurrently with joint symptoms.

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