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- K Zingg, M Grossenbacher, D Conen, and K Truninger.
- Medizinische Klinik, Kantonsspital Aarau.
- Praxis (Bern 1994). 1999 Mar 25;88(13):573-8.
AbstractA 72 year old female with rheumatoid arthritis was treated with methotrexate for nine months. Four days before admission she complained of dyspnea NYHA III. Chest-X-ray revealed diffuse interstitial pneumopathy. Pulmonary infection was excluded by several microbiological samples. A pulmonary manifestation of rheumatoid arthritis is usually more chronic. Methotrexate-induced pneumonitis remained the most probable diagnosis. We halted methotrexate and initiated therapy with glucocorticoids. This treatment led to rapid clinical improvement and complete resolution of radiological changes.
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