Bilateral pleural effusion with APLA positivity in a case of rhupus syndrome.
Rhupus syndrome is a rare syndrome characterized by overlap of rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Our patient was a diagnosed case of RA and developed SLE 2 years after. She was a middle-aged woman, presented with bilateral pleural effusion with exacerbation of skin and joint symptoms of SLE. We diagnosed the case as tubercular pleural effusion by positive Mycobacterium tuberculosis in bactec 460 culture. She had also anti-phospholipid antibody positivity without any symptoms and signs of thrombosis.
Department of Pulmonary Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India.
Kaushik
K
Saha
Department of Pulmonary Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India.
Arnab
A
Saha
Calcutta National Medical College, Kolkata, West Bengal, India.
Mrinmoy
M
Mitra
Midnapore Medical College, Midnapur, West Bengal, India.
Prabodh
P
Panchadhyayee
Anti-phospholipid antibody; pleural effusion; rhupus