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Rheumatology 2001; 40: 350-351
© 2001 British Society for Rheumatology

Letters to the Editor

Secondary spontaneous pneumothorax in a patient with pulmonary rheumatoid nodules during treatment with methotrexate

I. Gotsman, A. Goral and S. Nusair1

Division of Medicine and
1 Institute of Pulmonology, Hassah University Hospital, Hebrew University, Hadassah Medical School, Jerusalem, Israel

The first 10% of the full text of this article appears below.

SIR, Methotrexate (MTX) is a first-line disease-modifying drug in rheumatoid arthritis (RA) and improves articular manifestations of this disease. Its effect on extra-articular complications of this disease is less clear. We describe a patient with long-standing RA who presented with enlarging pulmonary necrobiotic nodules and subsequently developed a spontaneous pneumothorax during treatment with MTX.

A 64-yr-old male was admitted due to a low-grade fever and non-productive cough with pleuritic chest pain of several weeks. He had suffered from RA for 10 yr with positive rheumatoid factor, mild . . . [Full Text of this Article]


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S. Saravana, T. Gillott, F. Abourawi, M. Peters, A. Campbell, and S. Griffith
Spontaneous pneumothorax: an unusual presentation of rheumatoid arthritis
Rheumatology, November 1, 2003; 42(11): 1415 - 1416.
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