0
Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

An Elderly Man With Rheumatoid Arthritis and Dyspnea

Joseph Paul Nesheiwat, MD; Karen Dillon, MD; Kim McGlothan, MD; Muhammad Zaman, MD; Laura D. Carbone, MD, MS
Author and Funding Information

*From the Department of Medicine (Drs. Nesheiwat, Dillon, and McGlothan), University of Tennessee Health Science Center; and Department of Veterans Affairs Medical Center (Drs. Zaman and Carbone), Memphis, TN.

Correspondence to: Laura Carbone, MD, MS, University of Tennessee, 956 Court Ave, Memphis, TN 38163; e-mail: lcarbone@utmem.edu


This study was performed at the Veteran's Affairs Medical Center, 1030 Jefferson Ave, Memphis, TN.

Dr. Carbone has received honorariums from Merck, P&G, Novartis, and Aventis.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(4):1090-1093. doi:10.1378/chest.08-1501
Text Size: A A A
Published online

Extract

An 83-year-old man with a 20-year history of seropositive rheumatoid arthritis (RA) presented to the emergency department with 2 weeks of progressive dyspnea and dry cough. His arthritis had been treated with leflunomide monotherapy for 4.5 months. His medical history included hypertension. He had quit smoking > 30 years ago and denied recent travel, sick contacts, bird exposure, or suggestive occupational history. His medications included leflunomide, spironolactone, terazosin, and dyazide. He had used methotrexate > 10 years prior but did not recall any particular adverse reaction.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Suggested Readings

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543