Case Report

J Rheum Dis 2013; 20(5): 328-331

Published online October 30, 2013

© Korean College of Rheumatology

류마티스관절염과 만성 호산구성 폐렴에 동반된 호산구성 흉막삼출 1예

지용관ㆍ라상호ㆍ박유미ㆍ차재황ㆍ강용석ㆍ박정하ㆍ강태영

연세대학교 원주의과대학 내과학교실

A Case of Rheumatoid Arthritis with Chronic Eosinophilic Pneumonia Associated with Eosinophilic Pleural Effusion

Yong Gwan Jee, Sang Ho Ra, Yu Mi Park, Jae Whang Cha, Yong Seok Kang, Jeong Ha Park, Tae Young Kang

Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea

Correspondence to : Jeong Ha Park

Abstract

We describe a 48-year-old man with family history of rheumatoid arthritis (RA) affected by chronic eosinophilic pneumonia (CEP) with severe peripheral eosinophilia. CEP might develop as a complication of longstanding ac-tive RA. The patient with 5 months history of seropositive RA and chronic respiratory symptoms, alveolar and blood eosinophilia, peripheral pulmonary infiltrates and pleural effusion on chest imaging. The lung may be involved as an extraarticular manifestation of RA. However, CEP is not recognized as a typical lung manifestation of RA, and the two diseases rarely coexist. The effusion was an eosino-phil predominant exudates and was characterized by low pH, and glucose level and high lactic dehydrogenase. The patient responded rapidly to combination of steroids and disease modifying anti-rheumatic drugs.

Keywords Rheumatoid arthritis, Chronic eosinophilic pneumonia, Pleural effusion

Article

Case Report

J Rheum Dis 2013; 20(5): 328-331

Published online October 30, 2013

Copyright © Korean College of Rheumatology.

류마티스관절염과 만성 호산구성 폐렴에 동반된 호산구성 흉막삼출 1예

지용관ㆍ라상호ㆍ박유미ㆍ차재황ㆍ강용석ㆍ박정하ㆍ강태영

연세대학교 원주의과대학 내과학교실

A Case of Rheumatoid Arthritis with Chronic Eosinophilic Pneumonia Associated with Eosinophilic Pleural Effusion

Yong Gwan Jee, Sang Ho Ra, Yu Mi Park, Jae Whang Cha, Yong Seok Kang, Jeong Ha Park, Tae Young Kang

Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea

Correspondence to:Jeong Ha Park

Abstract

We describe a 48-year-old man with family history of rheumatoid arthritis (RA) affected by chronic eosinophilic pneumonia (CEP) with severe peripheral eosinophilia. CEP might develop as a complication of longstanding ac-tive RA. The patient with 5 months history of seropositive RA and chronic respiratory symptoms, alveolar and blood eosinophilia, peripheral pulmonary infiltrates and pleural effusion on chest imaging. The lung may be involved as an extraarticular manifestation of RA. However, CEP is not recognized as a typical lung manifestation of RA, and the two diseases rarely coexist. The effusion was an eosino-phil predominant exudates and was characterized by low pH, and glucose level and high lactic dehydrogenase. The patient responded rapidly to combination of steroids and disease modifying anti-rheumatic drugs.

Keywords: Rheumatoid arthritis, Chronic eosinophilic pneumonia, Pleural effusion

JRD
Jan 01, 2025 Vol.32 No.1, pp. 1~7
COVER PICTURE
Cumulative growth of rheumatology members and specialists (1980~2024). Cumulative distribution of the number of the (A) Korean College of Rheumatology members and (B) rheumatology specialists. (J Rheum Dis 2025;32:63-65)

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