抗环瓜氨酸肽抗体阳性的类风湿关节炎由细菌性肺炎引起的干燥综合征患者。

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL

Romanian Journal of Internal Medicine Pub Date : 2022-06-14 Print Date: 2022-06-01 DOI:10.2478/rjim-2022-0003

Taro Horino, Mitsuharu Yoshida, Satoshi Inotani, Kazuki Anabuki, Hiroshi Ohnishi, Masahiro Komori, Osamu Ichii, Yoshio Terada

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引用次数: 1

摘要

一名58岁女性，有干燥综合征病史，因咳嗽、右肺呼吸音减少和双拇指关节痛入院。胸部电脑断层显示右肺实变伴支气管充气征。抗环瓜氨酸肽抗体水平和类风湿因子水平显著升高。她被诊断为细菌性组织肺炎引起的类风湿关节炎。类风湿关节炎加用萨拉唑磺胺吡啶治疗，关节痛逐渐好转。本病例强调呼吸道感染可导致干燥综合征患者出现抗环瓜氨酸肽抗体阳性的类风湿关节炎。

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Anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis caused by bacterial organizing pneumonia in a patient with Sjogren's syndrome.

A 58-year-old woman with a history of Sjogren's syndrome was admitted to our hospital with cough, decreased right lung breath sounds and arthralgia in both thumbs. Chest computed tomography showed consolidation with air bronchogram in the right lung. Levels of anti-cyclic citrullinated peptide antibody and rheumatoid factor levels were significantly elevated. She was diagnosed with rheumatoid arthritis induced by bacterial organizing pneumonia. Treatment with salazosulfapyridine was added for rheumatoid arthritis and arthralgia gradually improved. This case highlights that respiratory infections could lead to anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis in patients with Sjogren's syndrome.

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来源期刊

Romanian Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

3.20

自引率

5.30%

发文量

审稿时长

15 weeks

期刊介绍： Romanian Journal of Physics is a journal publishing physics contributions on the following themes: •Theoretical Physics & Applied Mathematics •Nuclear Physics •Solid State Physics & Materials Science •Statistical Physics & Quantum Mechanics •Optics •Spectroscopy •Plasma & Lasers •Nuclear & Elementary Particles Physics •Atomic and Molecular Physics •Astrophysics •Atmosphere and Earth Science •Environment Protection