Bronchiolitis obliterans in a case of juvenile rheumatoid arthritis presented with pneumomediastinum.
We present a case of bronchiolitis obliterans associated with juvenile rheumatoid arthritis in whom pneumomediastinum was the presenting manifestation. Diagnosis of bronchiolitis obliterans was made on the basis of the clinical history, pulmonary function tests and high-resolution computerized tomography scan findings. Pneumomediastinum resolved in a few days following high-dose nasal oxygen. This case shows that bronchiolitis obliterans can occur in patients with juvenile rheumatoid arthritis. Complicating pneumomediastinum in such cases should be considered as an indication of underlying bronchiolitis obliterans.
Dikensoy
Oner
O
Department of Pulmonary Diseases, Gaziantep University, School of Medicine, Gaziantep, Turkey. dikensoy@yahoo.com
Bayram
Nazan
N
Bingol
Ayfer
A
Filiz
Ayten
A
D000328:Adult; D001171:Arthritis, Juvenile / Q000175:diagnosis* / Q000628:therapy; D001989:Bronchiolitis Obliterans / Q000175:diagnosis* / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008478:Mediastinal Emphysema / Q000175:diagnosis* / Q000628:therapy; D008727:Methotrexate / Q000008:administration & dosage; D010102:Oxygen Inhalation Therapy; D011239:Prednisolone / Q000008:administration & dosage; D012129:Respiratory Function Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D011239:Prednisolone; D008727:Methotrexate