<abstract xmlns="http://www.w3.org/1999/xhtml"><p>A 58-year-old woman with a history of Sjogren’s syndrome was admitted to our hospital with cough, decreased right lung breath sounds and arthralgia in both thumbs. Chest computed tomography showed consolidation with air bronchogram in the right lung. Levels of anti-cyclic citrullinated peptide antibody and rheumatoid factor levels were significantly elevated. She was diagnosed with rheumatoid arthritis induced by bacterial organizing pneumonia. Treatment with salazosulfapyridine was added for rheumatoid arthritis and arthralgia gradually improved. This case highlights that respiratory infections could lead to anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis in patients with Sjogren’s syndrome.</p></abstract>

A 58-year-old woman with a history of Sjogren’s syndrome was admitted to our hospital with cough, decreased right lung breath sounds and arthralgia in both thumbs. Chest computed tomography showed consolidation with air bronchogram in the right lung. Levels of anti-cyclic citrullinated peptide antibody and rheumatoid factor levels were significantly elevated. She was diagnosed with rheumatoid arthritis induced by bacterial organizing pneumonia. Treatment with salazosulfapyridine was added for rheumatoid arthritis and arthralgia gradually improved. This case highlights that respiratory infections could lead to anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis in patients with Sjogren’s syndrome.

Anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis caused by bacterial organizing pneumonia in a patient with Sjogren’s syndrome

Department of Endocrinology, Metabolism and Nephrology

Department of Hematology and Respiratory Medicine

Department of Biomedical Sciences, Graduate School of Veterinary Medicine

Romanian Journal of Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

A 58-year-old woman with a history of Sjogren’s syndrome was admitted to our hospital with cough, decreased right lung breath sounds and arthralgia in both...

Anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis caused by bacterial organizing pneumonia in a patient with Sjogren’s syndrome

Published Online: Jun 14, 2022

Page range: 127 - 131

Received: Sep 30, 2021

DOI: https://doi.org/10.2478/rjim-2022-0003

Keywords
anti-cyclic citrullinated peptide antibody (ACPA), bronchus-associated lymphoid tissue (BALT), organizing pneumonia (OP), rheumatoid arthritis (RA), Sjogren syndrome (SjS)

© 2022 Taro Horino et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Anti-cyclic citrullinated peptide antibody-positive rheumatoid arthritis caused by bacterial organizing pneumonia in a patient with Sjogren’s syndrome

Published Online: Jun 14, 2022

Page range: 127 - 131

Received: Sep 30, 2021

DOI: https://doi.org/10.2478/rjim-2022-0003

Keywordsanti-cyclic citrullinated peptide antibody (ACPA), bronchus-associated lymphoid tissue (BALT), organizing pneumonia (OP), rheumatoid arthritis (RA), Sjogren syndrome (SjS)

© 2022 Taro Horino et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
anti-cyclic citrullinated peptide antibody (ACPA), bronchus-associated lymphoid tissue (BALT), organizing pneumonia (OP), rheumatoid arthritis (RA), Sjogren syndrome (SjS)