A case of non-specific interstitial pneumonia associated with psoriasis vulgaris and polymyalgia rheumatica
Kawakami, K.; Kadota, J.; Abe, K.; Iida, K.; Kaseda, M.; Kawamoto, S.; Fujii, T.; Matsuo, T.; Kohno, S.
Nihon Kyobu Shikkan Gakkai Zasshi 35(12): 1395-1399
1997
ISSN/ISBN: 0301-1542 PMID: 9567088 Document Number: 471312
We describe the first case, to the best of our knowledge, of non-specific interstitial pneumonia associated with psoriasis vulgaris and polymyalgia rheumatica (PMR). A 50-year-old woman was admitted with a dry cough and a bilateral basilar reticulonodular shadows on chest X-ray. Bronchoalveolar lavage fluid analysis revealed lymphocytosis and a decreased CD4/CD8 ratio. A thoracoscopic lung biopsy specimen showed evidence of non-specific interstitial pneumonia. During her clinical course, she began suffering from psoriasis vulgaris and polymyalgia rheumatica. Corticosteroid therapy had no effect, but maintained a stable condition during a follow-up period of 4 years.