title: Case-based discussion from the Royal Devon and Exeter NHS Foundation Trust: a painful paradox.
authors.affiliation: Department of Respiratory Medicine, North Bristol NHS Trust, Bristol, UK.
authors.forename: Charles
authors.initials: C
authors.lastname: Sharp
authors.affiliation: Histopathology Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
authors.forename: Manish
authors.initials: M
authors.lastname: Powari
authors.affiliation: Rheumatology Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
authors.forename: Ravik
authors.initials: R
authors.lastname: Mascarenhas
authors.affiliation: Radiology Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
authors.forename: Alexander
authors.initials: A
authors.lastname: Spiers
authors.affiliation: Department of Thoracic Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
authors.forename: Peter O
authors.initials: PO
authors.lastname: Froeschle
authors.affiliation: Respiratory Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
authors.forename: Bipen D
authors.initials: BD
authors.lastname: Patel
authors.affiliation: Radiology Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
authors.forename: David A
authors.initials: DA
authors.lastname: Silver
authors.affiliation: Interstitial Lung Disease Unit, Royal Brompton, London, UK.
authors.forename: Toby M
authors.initials: TM
authors.lastname: Maher
authors.affiliation: Respiratory Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Gibbons
mesh_terms: D018501:Antirheumatic Agents / Q000009:adverse effects*; D001706:Biopsy; D003952:Diagnostic Imaging; D018450:Disease Progression; D000068800:Etanercept; D005260:Female; D006099:Granuloma / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007074:Immunoglobulin G / Q000009:adverse effects; D017563:Lung Diseases, Interstitial / Q000188:drug therapy* / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D018124:Receptors, Tumor Necrosis Factor; D012129:Respiratory Function Tests; D016103:Spinal Fractures / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted
chemical_list: D018501:Antirheumatic Agents; D007074:Immunoglobulin G; D018124:Receptors, Tumor Necrosis Factor; D000068800:Etanercept
keywords: Drug induced Lung Disease; Histology/Cytology; Interstitial Fibrosis