Caplan's syndrome presenting as multiple pulmonary nodules

Sang Kook Lee, Sang Hoon Lee, Song Yee Kim, Woo Kyung Lee, Dong Ho Shin, Woo Dae Bang, Song Mi Noh, Hyo Sup Shim, Byung Hoon Park, Kyung Jong Lee, Moo Suk Park, Young Sam Kim, Joon Chang, Se Kyu Kim, Young Ae Kang

Research output: Contribution to journalArticle

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. Copyright

Original languageEnglish
Pages (from-to)150-154
Number of pages5
JournalTuberculosis and Respiratory Diseases
Volume70
Issue number2
DOIs
Publication statusPublished - 2011 Feb 28

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Caplan Syndrome
Multiple Pulmonary Nodules
Miliary Tuberculosis
Biopsy
Silicosis
Thoracoscopy
Lung
Granuloma
Dust
Dyspnea
Arthritis
Rheumatoid Arthritis
Tomography
Inflammation
Neoplasms

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

Lee, Sang Kook ; Lee, Sang Hoon ; Kim, Song Yee ; Lee, Woo Kyung ; Shin, Dong Ho ; Bang, Woo Dae ; Noh, Song Mi ; Shim, Hyo Sup ; Park, Byung Hoon ; Lee, Kyung Jong ; Park, Moo Suk ; Kim, Young Sam ; Chang, Joon ; Kim, Se Kyu ; Kang, Young Ae. / Caplan's syndrome presenting as multiple pulmonary nodules. In: Tuberculosis and Respiratory Diseases. 2011 ; Vol. 70, No. 2. pp. 150-154.
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Lee, SK, Lee, SH, Kim, SY, Lee, WK, Shin, DH, Bang, WD, Noh, SM, Shim, HS, Park, BH, Lee, KJ, Park, MS, Kim, YS, Chang, J, Kim, SK & Kang, YA 2011, 'Caplan's syndrome presenting as multiple pulmonary nodules', Tuberculosis and Respiratory Diseases, vol. 70, no. 2, pp. 150-154. https://doi.org/10.4046/trd.2011.70.2.150

Caplan's syndrome presenting as multiple pulmonary nodules. / Lee, Sang Kook; Lee, Sang Hoon; Kim, Song Yee; Lee, Woo Kyung; Shin, Dong Ho; Bang, Woo Dae; Noh, Song Mi; Shim, Hyo Sup; Park, Byung Hoon; Lee, Kyung Jong; Park, Moo Suk; Kim, Young Sam; Chang, Joon; Kim, Se Kyu; Kang, Young Ae.

In: Tuberculosis and Respiratory Diseases, Vol. 70, No. 2, 28.02.2011, p. 150-154.

Research output: Contribution to journalArticle

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AU - Lee, Kyung Jong

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AU - Kim, Young Sam

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AU - Kang, Young Ae

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N2 - 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. Copyright

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