A 67-Year-Old Man With Psoriatic Arthritis and New-Onset Dyspnea

被引：6
作者：
Phang, Kee Fong [1 ]
Teng, Gim Gee [1 ,2 ,3 ]
Teo, Lynette L. S. [2 ,3 ,4 ]
Seet, Ju Ee [2 ,3 ,5 ]
Teoh, Chia Meng [2 ,3 ,6 ]
Teo, Felicia S. W. [2 ,3 ,6 ]
机构：
[1] Natl Univ Hlth Syst, Natl Univ Hosp, Div Rheumatol, Univ Med Cluster, Singapore, Singapore
[2] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Med, Singapore, Singapore
[3] Natl Univ Hlth Syst, Singapore, Singapore
[4] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Diagnost Imaging, Singapore, Singapore
[5] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Pathol, Singapore, Singapore
[6] Natl Univ Hlth Syst, Natl Univ Hosp, Div Resp & Crit Care Med, Univ Med Cluster, Singapore, Singapore
来源：
CHEST | 2018年 / 154卷 / 05期
关键词：
IDIOPATHIC PULMONARY-FIBROSIS; INTERSTITIAL PNEUMONIA; AUTOIMMUNE FEATURES; THERAPY; SOCIETY; DIAGNOSIS;
D O I：
10.1016/j.chest.2018.07.026
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
A 67-year-old retired air force officer presented with a 6-month history of nonproductive cough, progressive exertional dyspnea, and weight loss. He was unable to walk beyond 100 m compared with his baseline of unlimited walking distance. He denied fever, hemoptysis, myalgia, or chest pain. He had a 30-year history of chronic plaque psoriasis with arthritis, which was managed by his dermatologist with emollients and vitamin D analogues. Joint involvement had previously been controlled with methotrexate, which was discontinued 15 years ago after resolution of his symptoms. He developed a polyarthritis flare a year ago, and adalimumab was initiated with good response.
引用
收藏
页码：E127 / E134
页数：8
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