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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 344:997-1004 March 29, 2001 Number 13
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Case 10-2001— A 53-Year-Old Woman with Arthritis and Pulmonary Nodules
Dorothy A. White, and Eugene J. Mark

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Presentation of Case

A 53-year-old woman was admitted to the hospital because of radiographically evident pulmonary nodules.

The patient had a long history of seropositive rheumatoid arthritis, which was usually well controlled with naproxen. Six years before admission, a painful lump in the right Achilles tendon was excised; microscopical examination indicated that the mass was a rheumatoid nodule. When the patient was seen at this hospital three and a half years before admission, she was using an albuterol inhaler because of a cough productive of clear sputum. Bronchoconstriction was later diagnosed, and bronchodilator therapy was continued.

At a subsequent visit, the patient reported . . . [Full Text of this Article]

Differential Diagnosis

Nonmycobacterial Infections

Mycobacterial Infections

Neoplasms

Immunologic Disorders

Metabolic Disorders

Underlying Pulmonary Disease

Conclusions

Clinical Diagnoses

Dr. Dorothy A. White's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References


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