A 67-Year-Old Man With Psoriatic Arthritis and New-Onset Dyspnea.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30409366.
- Also identified by DOI 10.1016/j.chest.2018.07.026.
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Abstract
A 67-year-old retired air force officer presented with a 6-month history of nonproductive cough, progressive exertional dyspnea, and weight loss. He was unable to walk beyond 100 m compared with his baseline of unlimited walking distance. He denied fever, hemoptysis, myalgia, or chest pain. He had a 30-year history of chronic plaque psoriasis with arthritis, which was managed by his dermatologist with emollients and vitamin D analogues. Joint involvement had previously been controlled with methotrexate, which was discontinued 15 years ago after resolution of his symptoms. He developed a polyarthritis flare a year ago, and adalimumab was initiated with good response.
Medical subject headings
- Adalimumab
- Arthritis, Psoriatic
- Lung
- Lung Diseases, Interstitial