MedPix® Home PageCase of the Week - Patient Summary 13572
Peer Reviewed and Certified -
Approved by: Robert J Tallaksen - 2010-05-27 15:19:08-04
Demographics: 55 y.o. man
History & Chief complaint:
55 y.o. coal miner approximately two months status post posterior cervical fusion for C2-C3 instability. Routine clinical followup shows a leukocytosis. The patient has known rheumatoid arthritis and exposure to coal dust.
 
Physical exam and Laboratory:
Leukocytosis.
 
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Magnify Caplan Syndrome - Portable CXR
Fig 01: Caplan Syndrome - Portable CXR
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Fig 2a: Caplan Syndrome
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Fig 2b: Caplan Syndrome
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Fig 2c: Caplan Syndrome
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Fig 2d: Caplan Syndrome
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Fig 2e: Caplan Syndrome

 

Summary of Findings:
• CXR: interstitial pattern, pulmonary nodules, and faint mass on the right.

• CT: multiple cavitary and noncavitary nodules and masses.
 
Differential Diagnosis:

• Metastatic disease
• Vasculitis
• Septic emboli
• Infection
 
Diagnosis:
More Like This ?   Caplan Syndrome
Confirmed by: Bronchoscopy and history
Disease Discussion -  Caplan Syndrome
Lesion/Condition Name: Caplan Syndrome
Cell of Origin:

WHO Grade(s):

Synonyms: Rheumatoid pneumoconiosis


ICD-0 code: 714.81

Associations/Predisposing Factors: Pneumoconiosis in patients with rheumatoid arthritis

Common Locations:

Demographics:

Gross Morphology:

Gross Appearance:

Histology: hypersensitivity reaction

Special Stains:

Radiology: Cavitating and non-cavitating pulmonary nodules and masses, primarily peripheral

Prognosis and Treatment:
Case and/or Image Source: Robert J Tallaksen
Submitted by: Robert J Tallaksen - Author Info
Affiliation: WVU - West Virginia University
Approved By: Robert J Tallaksen - Editor Info
Affiliation: WVU - West Virginia University
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