Anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis caused by bacterial organizing pneumonia in a patient with Sjogren’s syndrome

Author:

Horino Taro1,Yoshida Mitsuharu1,Inotani Satoshi1,Anabuki Kazuki2,Ohnishi Hiroshi2,Komori Masahiro3,Ichii Osamu4,Terada Yoshio1

Affiliation:

1. Department of Endocrinology, Metabolism and Nephrology , Kochi Medical School, Kochi University , Japan

2. Department of Hematology and Respiratory Medicine , Kochi Medical School, Kochi University , Japan

3. Department of Otolaryngology , Kochi Medical School, Kochi University , Japan

4. Laboratory of Anatomy , Department of Biomedical Sciences, Graduate School of Veterinary Medicine , Hokkaido University , Japan

Abstract

Abstract A 58-year-old woman with a history of Sjogren’s syndrome was admitted to our hospital with cough, decreased right lung breath sounds and arthralgia in both thumbs. Chest computed tomography showed consolidation with air bronchogram in the right lung. Levels of anti-cyclic citrullinated peptide antibody and rheumatoid factor levels were significantly elevated. She was diagnosed with rheumatoid arthritis induced by bacterial organizing pneumonia. Treatment with salazosulfapyridine was added for rheumatoid arthritis and arthralgia gradually improved. This case highlights that respiratory infections could lead to anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis in patients with Sjogren’s syndrome.

Publisher

Walter de Gruyter GmbH

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