一名患有类风湿性关节炎和胸腔积液的 69 岁老人

Ishan A. Patel MD, Neel Vahil MD, Keith Albrektson MD, Lucie Griffin DO
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引用次数: 0

摘要

病例介绍 一位 69 岁的男性患者,有持续吸烟史,并长期患有血清反应阳性的类风湿性关节炎,长期接受免疫抑制治疗(每天服用羟氯喹,每周服用甲氨蝶呤和依那西普),因体重减轻、咳嗽和乏力 6 周来门诊就诊。他近期没有感染史、住院史,也没有其他重大健康变化,只是由于处方配药问题,他的类风湿关节炎药物中断了 3 个月。
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A 69-Year-Old Man With Rheumatoid Arthritis and Pleural Effusion

Case Presentation

A 69-year-old male with a history of ongoing tobacco use and long-standing history of seropositive rheumatoid arthritis on chronic immunosuppressive therapy (daily hydroxychloroquine, weekly methotrexate with etanercept) presented to the outpatient clinic with 6 weeks of weight loss, cough, and malaise. There was no history of recent infections, hospitalizations, or other significant changes to his health other than having a 3-month lapse in his rheumatoid arthritis medications due to prescription filling issues.

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