Rheumatoid Lung Disease

Common cases of interstitial pulmonary fibrosis due to approximately 20% of rheumatoid arthritis. A non-specific interstitial pneumonia in the first period of the disease has. The disease progresses, fibrous tissue increases the "honeycomb" appearance of bronchiectasis develop. In most cases, central necrosis of the granuloma is a thin "rheumatoid granuloma" develops. The most common clinical symptom, exertional dyspnea. In some patients, finger drum, in the form of myth and osteoarthropathy observed deformation. In some cases, LE cells are seen.

Rheumatoid Arthritis Lung Eclipse

Radiography of the disease in subacute nodular lesions are observed. Nodules ufaksa view miiyer tuberculosis, yellow-koidoz nodules greater than or similar to pnömokonyoza. Chronic period, reticular, and "honeycomb" is change. In some cases, pulmonary infiltrates with pleural effusion is located.

Thorax or pleural effusion of rheumatoid artritis'in Plöritis common complications. Exudative pleural effusion is light yellow or yellowish green color. Fluid glucose decreased in a certain way, or even less may be 25 mg%. Chloride is normal (tuberculous pleural fluid glucose and chloride and decreases). Pleural fluid in rheumatoid arthritis leukocytes, particularly lymphocytes, lactate dehydrogenase (LDH), and rheumatoid factor increases. In some cases, although not increased in the blood of rheumatoid factor in pleural fluid may increase. Rheumatoid pleural fluids is less than once to make any clinical symptoms.

Rheumatoid lung nodules are rare, usually are associated with rheumatoid arthritis and subcutaneous nodules. Pathologic features are as subcutaneous nodules. Nodules in the middle of a fibrinoid necrosis and granulation tissue necrosis are intense around. Rheumatoid lung nodules in patients with clinical symptoms usually do not. However, these nodules have grown a lot and when they are infected may develop clinical symptoms. In some cases, may cough and hemoptysis. Sedimentation has generally increased, and anemia. Radiography lung periphery, 3-7 mm in diameter, sübplöral, monitored around the well defined single or multiple nodules. Kavernleşme nodules are common. Kaveri thick wall, the inner boundary is homogeneous. Lung nodules are lost or grow, sometimes with pleural effusion or pneumothorax have.

Rheumatoid pnömokonyosis (Caplan syndrome) is a disease seen in mine workers. Diameter round shadows in the lungs of these patients, 0.5-5 sm (nodules), and there are pnömokonyosis fibrosis'i. The nodules are usually multiple, occur suddenly emerge and grow rapidly. Pulmonary rheumatoid nodules in the middle of necrosis, necrosis around the core of macrophages and polymorphonuclear leukocytes are formed by a granulation tissue. Necrosis of macrophages in the vicinity of the accumulation of dust in the mine is a dark ring husule that allows the separation of other rheumatoid nodules. There is no separation of these nodules Radiography other rheumatoid nodules. In some cases, these lesions disappear.

Pulmonary arteritis with rheumatoid lung disease is a common abnormality. Progression of the disease gradually narrows arteries, pulmonary hypertension and cor pulmonale develops later.

Rheumatoid lung disease are treated with salicylate and kortikosteroid'le. Rheumatoid nodule and Caplan's syndrome is more effective than corticosteroids.