Bubbles in the Box: Recurrent Pneumothorax From Bronchopleural Fistula in Rheumatoid Arthritis
Identifieur interne : 000769 ( Ncbi/Merge ); précédent : 000768; suivant : 000770Bubbles in the Box: Recurrent Pneumothorax From Bronchopleural Fistula in Rheumatoid Arthritis
Auteurs : Ahmed Taha [États-Unis] ; Randa Hazam [États-Unis] ; Jim Tseng [États-Unis] ; Lusine Nahapetyan [États-Unis] ; Masoud Alzeerah [États-Unis] ; Asm Islam [États-Unis]Source :
- Journal of Investigative Medicine High Impact Case Reports [ 2324-7096 ] ; 2019.
Abstract
When considering rheumatoid arthritis (RA)-associated pulmonary diseases, interstitial lung disease and pleural disease are the most common RA-associated pulmonary manifestations while spontaneous pneumothorax and bronchopleural fistula (BPF) are among the extremely rare ones. To the best of our knowledge, all the previous reports of RA-associated BPFs were attributed to peripherally located pulmonary nodules that necrotized, burst into the pleural cavity, and eventually lead to the fistula formation. However, we hereby present the first case of BPF in an RA patient that formed in the absence of any underlying rheumatic pulmonary nodules. Additionally, our patient was on chronic methotrexate therapy, and there are no data in the literature that suggest methotrexate-induced parenchymal lung disease can predispose to BPF formation. Our report is the first to introduce a probe to further investigate this association.
Url:
DOI: 10.1177/2324709619860555
PubMed: 31271042
PubMed Central: 6611010
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<front><div type="abstract" xml:lang="en"><p>When considering rheumatoid arthritis (RA)-associated pulmonary diseases, interstitial lung disease and pleural disease are the most common RA-associated pulmonary manifestations while spontaneous pneumothorax and bronchopleural fistula (BPF) are among the extremely rare ones. To the best of our knowledge, all the previous reports of RA-associated BPFs were attributed to peripherally located pulmonary nodules that necrotized, burst into the pleural cavity, and eventually lead to the fistula formation. However, we hereby present the first case of BPF in an RA patient that formed in the absence of any underlying rheumatic pulmonary nodules. Additionally, our patient was on chronic methotrexate therapy, and there are no data in the literature that suggest methotrexate-induced parenchymal lung disease can predispose to BPF formation. Our report is the first to introduce a probe to further investigate this association.</p>
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<title-group><article-title>Bubbles in the Box: Recurrent Pneumothorax From Bronchopleural Fistula in Rheumatoid Arthritis</article-title>
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<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-8243-2936</contrib-id>
<name><surname>Taha</surname>
<given-names>Ahmed</given-names>
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<contrib contrib-type="author"><name><surname>Hazam</surname>
<given-names>Randa</given-names>
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<given-names>Jim</given-names>
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<contrib contrib-type="author"><name><surname>Nahapetyan</surname>
<given-names>Lusine</given-names>
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<degrees>MD</degrees>
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<contrib contrib-type="author"><name><surname>Alzeerah</surname>
<given-names>Masoud</given-names>
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<contrib contrib-type="author"><name><surname>Islam</surname>
<given-names>Asm</given-names>
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<aff id="aff1-2324709619860555"><label>1</label>
Texas Tech University Health Sciences Center, Amarillo, TX, USA</aff>
<aff id="aff2-2324709619860555"><label>2</label>
Northwest Texas Hospital System, Amarillo, TX, USA</aff>
<author-notes><corresp id="corresp1-2324709619860555">Ahmed Taha, MD, Department of Internal Medicine, Texas Tech University Health Sciences Center, 1400 Coulter Street, Suite 2700, Amarillo, TX 79106, USA. Email: <email>aaataha1@gmail.com</email>
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<pub-date pub-type="epub"><day>04</day>
<month>7</month>
<year>2019</year>
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<pub-date pub-type="collection"><season>Jan-Dec</season>
<year>2019</year>
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<volume>7</volume>
<elocation-id>2324709619860555</elocation-id>
<history><date date-type="received"><day>8</day>
<month>5</month>
<year>2019</year>
</date>
<date date-type="accepted"><day>6</day>
<month>6</month>
<year>2019</year>
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<permissions><copyright-statement>© 2019 American Federation for Medical Research</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder content-type="society">American Federation for Medical Research</copyright-holder>
<license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This article is distributed under the terms of the Creative Commons Attribution 4.0 License (<ext-link ext-link-type="uri" xlink:href="http://www.creativecommons.org/licenses/by/4.0/">http://www.creativecommons.org/licenses/by/4.0/</ext-link>
) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (<ext-link ext-link-type="uri" xlink:href="https://us.sagepub.com/en-us/nam/open-access-at-sage">https://us.sagepub.com/en-us/nam/open-access-at-sage</ext-link>
).</license-p>
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<abstract><p>When considering rheumatoid arthritis (RA)-associated pulmonary diseases, interstitial lung disease and pleural disease are the most common RA-associated pulmonary manifestations while spontaneous pneumothorax and bronchopleural fistula (BPF) are among the extremely rare ones. To the best of our knowledge, all the previous reports of RA-associated BPFs were attributed to peripherally located pulmonary nodules that necrotized, burst into the pleural cavity, and eventually lead to the fistula formation. However, we hereby present the first case of BPF in an RA patient that formed in the absence of any underlying rheumatic pulmonary nodules. Additionally, our patient was on chronic methotrexate therapy, and there are no data in the literature that suggest methotrexate-induced parenchymal lung disease can predispose to BPF formation. Our report is the first to introduce a probe to further investigate this association.</p>
</abstract>
<kwd-group><kwd>bronchial fistula</kwd>
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<kwd>methotrexate</kwd>
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