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Rheumatoid lung nodule
  1. Parikshit Sagdeo,
  2. Yathish Gattimallanahali,
  3. Girish Kakade,
  4. Balakrishnan Canchi
  1. Department of Rheumatology, PD Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India
  1. Correspondence to Dr Yathish Gattimallanahali, yathish_gc{at}

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A 61-year-old woman was under treatment with a combination of methotrexate and leflunomide for seropositive rheumatoid arthritis (RA) for the past 6 years. She presented to us 6 months earlier with grade 1 dyspnoea of 3-month duration. She was a non-smoker. On evaluation, her vitals, and respiratory and cardiovascular system were normal. Laboratory reports revealed normal blood count, and renal and liver function tests were also normal. Chest X-ray revealed multiple nodules (in left upper lobe and right lower lobe). CT of the chest confirmed bilateral multiple necrotic and non-necrotic nodules (figures 1 and 2). Since the differential diagnoses included …

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