title: Familial Mediterranean Fever with Rheumatoid Arthritis Complicated by Pulmonary Paragonimiasis.
abstract: A 42-year-old woman presented with an intermittent fever and chest and back pain, and an abnormal chest shadow was detected. She was diagnosed with paragonimiasis caused by Paragonimus westermani. Praziquantel therapy improved the abnormal chest shadow, but did not relieve her symptoms. She was also diagnosed with familial Mediterranean fever (FMF), and colchicine therapy resolved her symptoms. She subsequently developed arthralgia and morning stiffness in her hands. We also diagnosed the patient with rheumatoid arthritis (RA), and corticosteroid and salazosulfapyridine therapy improved her symptoms. The existence of paragonimiasis complicated the diagnosis of FMF. The coexistence of FMF and RA is very rare, but does exist.
authors.affiliation: Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan.
authors.forename: Shin-Ichi
authors.initials: SI
authors.lastname: Nureki
authors.forename: Koji
authors.initials: K
authors.lastname: Ishii
authors.forename: Hideaki
authors.initials: H
authors.lastname: Fujisaki
authors.forename: Masataka
authors.initials: M
authors.lastname: Torigoe
authors.forename: Keisuke
authors.initials: K
authors.lastname: Maeshima
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Shibata
authors.forename: Eishi
authors.initials: E
authors.lastname: Miyazaki
authors.forename: Jun-Ichi
authors.initials: JI
authors.lastname: Kadota
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000818:Animals; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D003078:Colchicine / Q000627:therapeutic use; D010505:Familial Mediterranean Fever / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D010237:Paragonimiasis / Q000150:complications* / Q000188:drug therapy; D048492:Paragonimus westermani; D011223:Praziquantel / Q000627:therapeutic use; D012460:Sulfasalazine
chemical_list: D000305:Adrenal Cortex Hormones; D012460:Sulfasalazine; D011223:Praziquantel; D003078:Colchicine