Rheumatoid lung disease is a group of lung problems related to
Blockage of the small airways (bronchiolitis obliterans)
Fluid in the chest (
High blood pressure in the lungs (
Lumps in the lungs (nodules)
Lung disease – rheumatoid arthritis; Rheumatoid nodules
Causes, incidence, and risk factors
Pulmonary abnormalities are common in rheumatoid arthritis, but they often cause no symptoms.
The causes of lung disease associated with rheumatoid arthritis are unknown. Sometimes the medicines used to treat rheumatoid arthritis, especially methotrexate, may result in lung disease.
- Chest pain
Shortness of breath
Other symptoms that may occur with this disease include:
Joint stiffness Joint swelling
- Skin nodules
Signs and tests
The doctor may hear crackles (rales) when listening to the lungs with a stethoscope. Or, the patient may have decreased breath sounds, wheezing, a rubbing sound, or normal breath sounds.
The following tests may show signs of rheumatoid lung disease:
Chest x-ray CT scan of the chest Echocardiogram(may show pulmonary hypertension)
- Lung biopsy (bronchoscopic, video-assisted, or
- Lung function tests
- Needle inserted into the fluid around the lung (
Many people with this condition have no symptoms. Treatments are aimed at the underlying disorder and the complications caused by the disorder. Corticosteroids or other medicines that suppress the immune system are sometimes useful.
The outcome is related to the underlying disorder and the type and severity of lung disease.
Pneumothorax Pulmonary hypertension
Calling your health care provider
Call your health care provider PROMPTLY if you have rheumatoid arthritis and you develop unexplained breathing difficulties.
Related:Interstitial lung disease – adults – discharge, Rheumatoid arthritis, Pleural effusion, Diffuse interstitial lung disease, Collapsed lung (Pneumothorax), Pulmonary Hypertension