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

Taro Horino; Mitsuharu Yoshida; Satoshi Inotani; Kazuki Anabuki; Hiroshi Ohnishi; Masahiro Komori; Osamu Ichii; Yoshio Terada

doi:10.2478/rjim-2022-0003

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

Romanian Journal of Internal Medicine

Volume 60 (2022): Issue 2 (June 2022)

By: Taro Horino, Mitsuharu Yoshida, Satoshi Inotani, Kazuki Anabuki, Hiroshi Ohnishi, Masahiro Komori, Osamu Ichii and Yoshio Terada

Open Access

|Jun 2022

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.

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Articles in this issue

DOI: https://doi.org/10.2478/rjim-2022-0003 | Journal eISSN: 2501-062X | Journal ISSN: 1220-4749

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Language: English

Page range: 127 - 131

Submitted on: Sep 30, 2021

Published on: Jun 14, 2022

Published by: N.G. Lupu Internal Medicine Foundation

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

anti-cyclic citrullinated peptide antibody (ACPA),

bronchus-associated lymphoid tissue (BALT),

organizing pneumonia (OP),

rheumatoid arthritis (RA),

Sjogren syndrome (SjS)

Related subjects:

Medicine,

Clinical medicine,

Internal medicine,

Internal medicine, other,

Cardiology,

Gastroenterology,

Rheumatology

© 2022 Taro Horino, Mitsuharu Yoshida, Satoshi Inotani, Kazuki Anabuki, Hiroshi Ohnishi, Masahiro Komori, Osamu Ichii, Yoshio Terada, published by N.G. Lupu Internal Medicine Foundation
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Volume 60 (2022): Issue 2 (June 2022)