Komplizierter verlauf einer rheumatoiden arthritis mit pulmonaler beteiligung, myokardfibrose und schlafapnoesyndrom

Translated title of the contribution: Rheumatoid arthritis complicated by pulmonary and myocardial involvement and obstructive sleep apnea syndrome

E. Offers, C. Herbort, K. Dumke, H. Schneider, R. Kolloch

Research output: Contribution to journalArticle

Abstract

We report on a 67 year old man in whom the chest x-ray revealed marked interstitial opacities in both lungs. The diagnosis of Rheumatoid Arthritis (RA) was established by the presence of five criteria of the American College of Rheumatology for diagnosing RA. High resolution computertomography of the chest confirmed the abnormalities seen in the conventional chest x-ray. A biopsy, taken by open lung surgery, showed the typical pattern of pulmonary involvement in RA and confirmed the association of RA and interstitial lung fibrosis. The histologic examination pointed out lymphocytic infiltration of the bronchies, thickend alveolar walls with lymphoplasmarcellular infiltration and an increase in fibrous connective tissue. A congestive heart failure with severe arrhythmias and an obstructive sleep apnea syndrome (OSAS) were diagnosed in addition. The rhythm disturbances were attributed to the participation of the myocardium in RA and/or by the OSAS. By the treatment with prednisolone, methotrexate, mexiletine and continous positive airway pressure (CPAP) the rhythm disturbances were alleviated and the patient's condition improved.

Original languageGerman
Pages (from-to)906-911
Number of pages6
JournalPneumologie
Volume50
Issue number12
StatePublished - Dec 1 1996

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ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Offers, E., Herbort, C., Dumke, K., Schneider, H., & Kolloch, R. (1996). Komplizierter verlauf einer rheumatoiden arthritis mit pulmonaler beteiligung, myokardfibrose und schlafapnoesyndrom. Pneumologie, 50(12), 906-911.