A case of rheumatoid pneumoconiosis (Caplan' s syndrome) with pneumothorax due to rupture of a pulmonary rheumatoid nodule

  • Imamura Fumito
    Department of General Surgery, Hitachi, Ltd., Hitachinaka General Hospital
  • Mase Kentaro
    Department of General Surgery, Hitachi, Ltd., Hitachinaka General Hospital

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Other Title
  • 肺リウマチ結節の破綻による気胸を併発したリウマチ様塵肺症(カプラン症候群)の1例
  • A case of rheumatoid pneumoconiosis (Caplan^|^apos; s syndrome) with pneumothorax due to rupture of a pulmonary rheumatoid nodule

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Description

A 65-year-old man with a 9-year history of articular rheumatism complained of cough and chest pain. He was referred to our hospital with a diagnosis of left pneumothorax. Chest CT scan showed left pneumothorax and a 3-cm nodular shadow with cavitation in the left S6. He underwent video-assisted thoracic surgery. The nodule with cavitation in the left S6 was excised. The histopathology of the excised nodule showed the typical features of a rheumatoid nodule.

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