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Previous Volume 345:1193-1200 October 18, 2001 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 77-year-old man was transferred to this hospital because of worsening bilateral air-space disease and acute renal failure.

He had stopped smoking 30 years before admission. He had mild chronic obstructive pulmonary disease; hypertension, for which he was taking lisinopril; and rheumatoid arthritis, which had begun one and a half years before admission and was being treated with indomethacin and hydroxychloroquine.

Six days before admission, the patient entered another hospital because of an acute onset of dyspnea, without fever. Bilateral rales and rhonchi were audible. A thoracic radiograph showed numerous diffuse pulmonary opacities and a minimal right-sided pleural effusion. Laboratory . . . [Full Text of this Article]

Differential Diagnosis

Pulmonary–Renal Syndrome with Pulmonary Hemorrhage

Pulmonary Infection

Congestive Heart Failure

Rheumatoid Arthritis and Cardiopulmonary Disease

Type of Rheumatoid Lung Disease in This Case

Conclusions

Clinical Diagnoses

Dr. Helen M. Hollingsworth's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

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• Parambil, J. G., Myers, J. L., Ryu, J. H. (2006). Diffuse alveolar damage: uncommon manifestation of pulmonary involvement in patients with connective tissue diseases.. Chest 130: 553-558 [Abstract] [Full Text]  
• Gong, M. N., Mark, E. J. (2002). Case 40-2002 - A 56-Year-Old Man with Rapidly Worsening Dyspnea. NEJM 347: 2149-2157 [Full Text]  
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