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Pictorial essay


Imaging features of the pleuropulmonary manifestations of rheumatoid arthritis: pearls and pitfalls

Harbir S SidhuGauraang BhatnagarPervinder BhogalRichard Riordan
Department of Radiology, Derriford Hospital, Plymouth Hospitals NHS Trust, Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH, (PRIMARY SITE), Department of Radiology, Royal Free Hospital London, Pond Street, London, NW3 2QG, UK
Date of Submission: 27-Mar-2011, Date of Acceptance: 19-May-2011, Date of Web Publication: 21-Jun-2011.
Corresponding Author:
Corresponding Author

Harbir Sidhu

Peninsula Radiology Academy, Plymouth International Business Park, Plymouth PL6 5WR, UK.
E-mail: harbirsidhu@doctors.org.uk

Corresponding Author:
Corresponding Author

Harbir Sidhu

Peninsula Radiology Academy, Plymouth International Business Park, Plymouth PL6 5WR, UK.
E-mail: harbirsidhu@doctors.org.uk

DOI: 10.4103/2156-7514.82244 Facebook Twitter Google Linkedin

ABSTRACT


Rheumatoid arthritis (RA) is a common disorder that affects the joints. RA is a systemic disease associated with relatively frequent and variable pleuropulmonary manifestations. This article reviews the common and potentially serious thoracic sequelae in terms of pleural disease, pulmonary nodules, airways disorders, and interstitial disease, as well as pulmonary side effects of antirheumatic medication. An imaging-guided approach to classification of RA-associated lung disease is outlined and the comparative values of different imaging modalities are discussed. An appreciation of current knowledge of epidemiology, pathological correlation, and prognostic implications of different RA-associated lung disease is provided. We highlight importance of considering pertinent differential diagnoses to avoid misdiagnosis, and outline common pitfalls in dealing with pleuropulmonary rheumatoid disease.
Keywords: Lung Interstitial Disease, Pulmonary Complications, Rheumatoid Arthritis

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  2. Ruken Yuksekkaya, Fatih Celikyay, Ayse Yilmaz, Sule Arslan, Ahmet Inanir, Handan Inonu and Caglar Deniz Pulmonary involvement in rheumatoid arthritis: multidetector computed tomography findings Acta Radiol 54(10) 2013 1138. Doi: 10.1177/0284185113491566
  3. Eva M Olivas-Flores Interstitial lung disease in rheumatoid arthritis: Current concepts in pathogenesis, diagnosis and therapeutics WJR 5(1) 2015 1. Doi: 10.5499/wjr.v5.i1.1
  4. S. Maier, F. Bonella and H. Kühl Die „Rheumalunge“ in der Computertomographie: radiologische Manifestationen der rheumatoiden Arthritis Pneumologe 15(6) 2018 419. Doi: 10.1007/s10405-018-0203-9
  5. Aws Alfahad, Paul Jennings, Simmon Smith, Nikta Niktash and John Curtin An interesting finding of multiple calcified pulmonary nodules in a patient with rheumatoid arthritis BJR|case reports 2(1) 2016 20150116. Doi: 10.1259/bjrcr.20150116
  6. Robert W. Hallowell and Maureen R. Horton Interstitial Lung Disease in Patients with Rheumatoid Arthritis: Spontaneous and Drug Induced Drugs 74(4) 2014 443. Doi: 10.1007/s40265-014-0190-z

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