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다발성 폐결절로 발견된 카플란증후군 1예

Other Titles
 Caplan's Syndrome Presenting as Multiple Pulmonary Nodules 
Authors
 강영애 ; 김세규 ; 김송이 ; 김영삼 ; 박무석 ; 박병훈 ; 방우대 ; 신동호 ; 심효섭 ; 이경종 ; 이상국 ; 이상훈 ; 이우경 ; 장준 
Citation
 Tuberculosis and Respiratory Diseases, Vol.70(2) : 150~154, 2011 
Journal Title
 Tuberculosis and Respiratory Diseases 
ISSN
 1738-3536 
Issue Date
2011
Abstract
We report a case of Caplan's Syndrome, which presented as multiple pulmonary nodules. A 58-year-old male was admitted to hospital due to multiple pulmonary nodules. In addition, the patient presented with multiple arthritis, and dyspnea on exertion. Rheumatoid arthritis had been diagnosed 35 years ago. The patient had worked as a stonemason for 20 years. Computed Tomography (CT) revealed numerous well-defined tiny nodules scattered in both lungs, which was suspicious of miliary tuberculosis or malignancy. The patient was started on antituberculous medications and referred to our hospital. First, a transbronchial lung biopsy was performed, which showed no evidence of granuloma. It was our opinion that the biopsy was insufficient, and a follow-up video-associated thoracoscopy was performed. The pathological report determined necrotizing granulomatous inflammation and silicosis on background. According to imaging studies, pathologic reports, and clinical symptoms, we concluded that the patient had Caplan's syndrome. We controlled his rheumatic medications, and instructed him to avoid exposure to hazardous dust
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/93967
DOI
10.4046/trd.2011.70.2.150
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Pathology
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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