A 16-year Follow-up Case of Interstitial Pneumonia with Systemic Sclerosis-rheumatoid Arthritis Overlap Syndrome

Hideaki Yamakawa; Eri Hagiwara; Yumie Yamanaka; Satoshi Ikeda; Akimasa Sekine; Hideya Kitamura; Tomohisa Baba; Koji Okudela; Tae Iwasawa; Tamiko Takemura; Takashi Ogura

doi:10.2169/internalmedicine.56.7202

CASE REPORTS

A 16-year Follow-up Case of Interstitial Pneumonia with Systemic Sclerosis-rheumatoid Arthritis Overlap Syndrome

Hideaki Yamakawa, Eri Hagiwara, Yumie Yamanaka, Satoshi Ikeda, Akimasa Sekine, Hideya Kitamura, Tomohisa Baba, Koji Okudela, Tae Iwasawa, Tamiko Takemura, Takashi Ogura

Author information

Hideaki Yamakawa
Department of Internal Medicine, Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan
Department of Respiratory Medicine, Tokyo Jikei University Hospital, Japan
Eri Hagiwara
Department of Internal Medicine, Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan
Yumie Yamanaka
Department of Internal Medicine, Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan
Department of Respiratory Medicine, Tokyo Jikei University Hospital, Japan
Satoshi Ikeda
Department of Internal Medicine, Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan
Akimasa Sekine
Department of Internal Medicine, Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan
Hideya Kitamura
Department of Internal Medicine, Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan
Tomohisa Baba
Department of Internal Medicine, Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan
Koji Okudela
Department of Pathobiology, Yokohama City University Graduate School of Medicine, Japan
Tae Iwasawa
Department of Radiology, Kanagawa Cardiovascular and Respiratory Center, Japan
Tamiko Takemura
Department of Pathology, Japanese Red Cross Medical Center, Japan
Takashi Ogura
Department of Internal Medicine, Division of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan

Keywords: systemic sclerosis, nonspecific interstitial pneumonia, rheumatoid arthritis, overlap syndrome

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 12 Pages 1557-1561

DOI https://doi.org/10.2169/internalmedicine.56.7202

Details

Abstract

Interstitial pneumonia is a common and major comorbidity affecting the prognosis of patients with systemic sclerosis (SSc). However, there are few reported cases of SSc-rheumatoid arthritis (RA) overlap-associated interstitial pneumonia. We herein report a case in which the clinical behavior and histopathology of interstitial pneumonia with SSc-RA overlap syndrome was followed over a long clinical course. When clinicians are deciding on the treatment strategy for patients with SSc-RA overlap syndrome-associated interstitial pneumonia, a pathological examination of a surgical lung biopsy may be useful.

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