A Case of Lung Involvement Associated with Juvenile Idiopathic Arthritis

Chung Mo Koo; Seong Yeol Choi; Jong Gyun Ahn; Ki Hwan Kim; Dong Soo Kim

doi:10.4078/jrd.2013.20.5.332

Journal List > J Rheum Dis > v.20(5) > 1064072

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Koo, Choi, Ahn, Kim, and Kim: A Case of Lung Involvement Associated with Juvenile Idiopathic Arthritis

Case Report

J Rheum Dis 2013;20(5):332-335.

Published online: 31 October 2013

DOI: https://doi.org/10.4078/jrd.2013.20.5.332

A Case of Lung Involvement Associated with Juvenile Idiopathic Arthritis

Chung Mo Koo, Seong Yeol Choi, Jong Gyun Ahn, Ki Hwan Kim, Dong Soo Kim

Department of Pediatrics, Yonsei University College of Medicine, Severance Children's Hospital, Seoul, Korea

Corresponding to : Dong Soo Kim, Department of Pediatrics, Yonsei University College of Medicine, Severance Children's Hospital, 50, Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. E-mail : dskim6634@yuhs.ac

Received 19 September 201225 October 2012 Accepted 26 October 2012

This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Juvenile idiopathic arthritis (JIA) can develop extraarticular manifestations, including growth retardation, osteopenia and chronic uveitis. However, pleuropulmonary involvement is rare. Approximately 40% of patients with JIA have abnormal pulmonary function tests without pulmonary symptoms, with the commonest abnormality in carbon monoxide diffusing capacity, but clinically evident pulmonary parenchymal disease in JIA is extremely uncommon. We describe a 15-year-old male with JIA who presented with dyspnea due to interstitial lung disease.

Keywords: Arthritis, Juvenile rheumatoid, Lung disease

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Figure 1.

Chest PA shows pneumomediastinum (white arrow head), right pleural effusion (black arrow) and honeycombing in Left Lower lobe (white arrow).

Figure 2.

High resolution CT (HRCT) scan shows pneumomediastinum (black arrow), honeycombing, ground-glass opacity (white arrow), septal thickening and small nodules in both lung fields.

Figure 3.

Followup High resolution CT (HRCT) scan shows decreased pneumomediastinum (black arrow) and slightly decreased honeycombing, ground-glass opacity (white arrow).

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