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. 1975 Apr;34(2):181–185. doi: 10.1136/ard.34.2.181

Empyema in rheumatoid arthritis.

P A Dieppe
PMCID: PMC1006369  PMID: 1137443

Abstract

Case notes of the last 67 patients to present at the Brompton Hospital with nontuberculous empyemas, and without malignant disease, have been examined. Three cases of empyema in association with rheumatoid arthritis (RA) were found, and these cases are reported. Previous literature concerning this association is reviewed. It is concluded that two types of empyema may occur in patients with RA. Some develop in association with nodular pleuropulmonary disease and the formation of pyopneumothoraces; in other cases large, recurrent, primary empyemas build up in the presence of active rheumatoid disease alone. As with rheumatoid pleural effusions, middle-aged men seem to be particularly susceptible.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Basten A., Camens I., Schwartz C. J. Rheumatoid lung disease with report of a case. Australas Ann Med. 1966 May;15(2):175–181. doi: 10.1111/imj.1966.15.2.175. [DOI] [PubMed] [Google Scholar]
  2. Baum J. Infection in rheumatoid arthritis. Arthritis Rheum. 1971 Jan-Feb;14(1):135–137. doi: 10.1002/art.1780140119. [DOI] [PubMed] [Google Scholar]
  3. Blau S. P. Empyema in rheumatoid lung disease. Ann Intern Med. 1971 Sep;75(3):476–477. doi: 10.7326/0003-4819-75-3-476. [DOI] [PubMed] [Google Scholar]
  4. CARR D. T., MAYNE J. G. Pleurisy with effusion in rheumatoid arthritis, with reference to the low concentration of glucose in pleural fluid. Am Rev Respir Dis. 1962 Mar;85:345–350. doi: 10.1164/arrd.1962.85.3.345. [DOI] [PubMed] [Google Scholar]
  5. COBB S., ANDERSON F., BAUER W. Length of life and cause of death in rheumatoid arthritis. N Engl J Med. 1953 Oct 1;249(14):553–556. doi: 10.1056/NEJM195310012491402. [DOI] [PubMed] [Google Scholar]
  6. CUDKOWICZ L., MADOFF I. M., ABELMANN W. H. Rheumatoid lung disease. A case report which includes respiratory function studies and a lung biopsy. Br J Dis Chest. 1961 Jan;55:35–40. doi: 10.1016/s0007-0971(61)80022-3. [DOI] [PubMed] [Google Scholar]
  7. Campbell G. D., Ferrington E. Rheumatoid pleuritis with effusion. Dis Chest. 1968 May;53(5):521–527. doi: 10.1378/chest.53.5.521. [DOI] [PubMed] [Google Scholar]
  8. Carmichael D. S., Golding D. N. Rheumatoid pleural effusion with "R.A. cells" in the pleural fluid. Br Med J. 1967 Jun 24;2(5555):814–814. doi: 10.1136/bmj.2.5555.814. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Davies D. Pyopneumothorax in rheumatoid lung disease. Thorax. 1966 May;21(3):230–235. doi: 10.1136/thx.21.3.230. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. HINDLE W., YATES D. A. PYOPNEUMOTHORAX COMPLICATING RHEUMATOID LUNG DISEASE. Ann Rheum Dis. 1965 Jan;24:57–60. doi: 10.1136/ard.24.1.57. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Huskisson E. C., Hart F. D. Severe, unusual, and recurrent infections in rheumatoid arthritis. Ann Rheum Dis. 1972 Mar;31(2):118–121. doi: 10.1136/ard.31.2.118. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Jones F. L., Jr, Blodgett R. C., Jr Empyema in rheumatoid pleuropulmonary disease. Ann Intern Med. 1971 May;74(5):665–671. doi: 10.7326/0003-4819-74-5-665. [DOI] [PubMed] [Google Scholar]
  13. KELLGREN J. H., BALL J., FAIRBROTHER R. W., BARNES K. L. Suppurative arthritis complicating rheumatoid arthritis. Br Med J. 1958 May 24;1(5081):1193–1200. doi: 10.1136/bmj.1.5081.1193. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Lillington G. A., Carr D. T., Mayne J. G. Rheumatoid pleurisy with effusion. Arch Intern Med. 1971 Nov;128(5):764–768. [PubMed] [Google Scholar]
  15. Rubin E. H., Gordon M., Thelmo W. L. Nodular pleuropulmonary rheumatoid disease. Report of two cases and review of literature. Am J Med. 1967 Apr;42(4):567–581. doi: 10.1016/0002-9343(67)90056-3. [DOI] [PubMed] [Google Scholar]
  16. Sahn S. A., Lakshminarayan S., Char D. C. "Silent" empyema in patients receiving corticosteroids. Am Rev Respir Dis. 1973 May;107(5):873–876. doi: 10.1164/arrd.1973.107.5.873. [DOI] [PubMed] [Google Scholar]
  17. Scadding J. G. The lungs in rheumatoid arthritis. Proc R Soc Med. 1969 Mar 3;62(3):227–238. [PMC free article] [PubMed] [Google Scholar]
  18. Walker W. C. Pulmonary infections and rheumatoid arthritis. Q J Med. 1967 Apr;36(142):239–251. [PubMed] [Google Scholar]
  19. Walker W. C., Wright V. Rheumatoid pleuritis. Ann Rheum Dis. 1967 Nov;26(6):467–474. doi: 10.1136/ard.26.6.467. [DOI] [PMC free article] [PubMed] [Google Scholar]

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