Comments on: RA & Pulmonary disease http://www.unboundedmedicine.com/2005/11/02/ra-pulmonary-disease/ Medicine as it must be: Unlimited Sat, 22 Nov 2008 02:33:59 +0000 http://wordpress.org/?v=2.6.2 By: JonMikel, M.D. http://www.unboundedmedicine.com/2005/11/02/ra-pulmonary-disease/#comment-10223 JonMikel, M.D. Tue, 14 Nov 2006 18:00:16 +0000 http://www.unboundedmedicine.com/?p=9#comment-10223 Mike Watts, I really suggest you to visit <a href="http://pulmonaryroundtable.blogspot.com/" rel="nofollow">The Pulmonary Round Table Blog</a> where six specialists talk about pulmonary cases. You can submit your case or write them by email. Best regards, Jon Mike Watts, I really suggest you to visit The Pulmonary Round Table Blog where six specialists talk about pulmonary cases. You can submit your case or write them by email.

Best regards,

Jon

]]> By: Mike Watts http://www.unboundedmedicine.com/2005/11/02/ra-pulmonary-disease/#comment-10183 Mike Watts Mon, 13 Nov 2006 16:38:12 +0000 http://www.unboundedmedicine.com/?p=9#comment-10183 I have just been isagnosised with interstitial pneumonia . What seems to be the treatment of choice? I see no FDA approved meds and steroids don't seem to work. Immunical gama-1b is out there as well as lactoferrin (over the counter with some clinical trials) and stage 3 clinical trials of and another drug made by Actimmune.... I have just been isagnosised with interstitial pneumonia . What seems to be the treatment of choice? I see no FDA approved meds and steroids don’t seem to work. Immunical gama-1b is out there as well as lactoferrin (over the counter with some clinical trials) and stage 3 clinical trials of and another drug made by Actimmune….

]]> By: JonMikel, M.D. http://www.unboundedmedicine.com/2005/11/02/ra-pulmonary-disease/#comment-10 JonMikel, M.D. Sun, 06 Nov 2005 02:55:12 +0000 http://www.unboundedmedicine.com/?p=9#comment-10 Thank you for the opinion Dr. Jeff. We will check out The Pulmonary Round Table Blog. Regards, JonMikel, M.D. Thank you for the opinion Dr. Jeff.
We will check out The Pulmonary Round Table Blog.

Regards,

JonMikel, M.D.

]]> By: Jeff H http://www.unboundedmedicine.com/2005/11/02/ra-pulmonary-disease/#comment-9 Jeff H Sun, 06 Nov 2005 02:54:48 +0000 http://www.unboundedmedicine.com/?p=9#comment-9 For those interested, further in-depth discussion of pulmonary and critical care medicine cases can be found at: <a href="http://pulmonaryroundtable.blogspot.com">pulmonaryroundtable.blogspot.com</a> For those interested, further in-depth discussion of pulmonary and critical care medicine cases can be found at:

pulmonaryroundtable.blogspot.com

]]> By: Jeff H http://www.unboundedmedicine.com/2005/11/02/ra-pulmonary-disease/#comment-8 Jeff H Sun, 06 Nov 2005 02:54:25 +0000 http://www.unboundedmedicine.com/?p=9#comment-8 Excellent case, with some very nice radiographs. To address the question of the association of RA with pulmonary disease, the answer is that RA can be associated with several pulmonary manifestations. These span from rheumatoid nodules, to pleural effusions, to bronchiolitis-obliterans-organizing pneumonia, to interstitial lung diseases with the pathologic correlates of non-specific interstitial pneumonia or usual interstitial pneumonia. Thas patient has radiographic changes with diffuse reticolonodular infiltrates and probably honeycombing in a predominantly sub-pleural distribution, which appears classic for UIP. This case is complicated by the prolonged treatment with Methotrexate which can, in itself, cause interstitial lung disease. Excellent case, with some very nice radiographs. To address the question of the association of RA with pulmonary disease, the answer is that RA can be associated with several pulmonary manifestations. These span from rheumatoid nodules, to pleural effusions, to bronchiolitis-obliterans-organizing pneumonia, to interstitial lung diseases with the pathologic correlates of non-specific interstitial pneumonia or usual interstitial pneumonia.

Thas patient has radiographic changes with diffuse reticolonodular infiltrates and probably honeycombing in a predominantly sub-pleural distribution, which appears classic for UIP. This case is complicated by the prolonged treatment with Methotrexate which can, in itself, cause interstitial lung disease.

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