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Thursday, March 12, 2009

Day #245 - (Cryptogenic) Organizing Pneumonia

Today we talked about a case of a patient with organizing pneumonia in the context of advanced rheumatoid arthritis on penicillamine.

The discussant reviewed the respiratory complications from RA:
  • Pulmonary nodules
  • Pleural effusion
  • Pulmonary Fibrosis
  • Bronchiolitis Obliterans
  • Organizing pneumonia
  • Cavitary disease -- with pneumoconiaosis (Caplan's syndrome)
  • Related to immunosuppression (i.e. methotrexate lung)
We then discussed the diagnosis and management of organizing pneumonia in rheumatoid arthritis.

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