The article describes a clinical case of observation and treatment of a patient with a primary reason for treatment for lung disease. However, in the course of additional examination, observation and joint work of doctors of different specialties, the diagnosis was clarified, rheumatoid arthritis (RA) with systemic manifestations was revealed – this is a chronic autoimmune disease with articular and extraarticular manifestations of unknown etiology. Hereditary predisposition and environmental factors play an important role in the development of arthritis. The dynamics of the patient's clinical state and the applied approaches to treatment are described. Changes in computed tomography data for several years of observation are presented and discussed. Such situations often cause significant difficulties in the work of primary care specialists, often the diagnosis remains incorrect or unclear for a long time, which affects the tactics and effectiveness of treatment. In addition, this disease is often the cause of disability. Moreover, the prevalence of RA is about 1 %. The description of this case can be useful in the work of doctors of different specialties - therapists, pulmonologists, rheumatologists, GPs, etc.
The article describes a clinical case of observation and treatment of a patient with a primary reason for treatment for lung disease. However, in the course of additional examination, observation and joint work of doctors of different specialties, the diagnosis was clarified, rheumatoid arthritis (RA) with systemic manifestations was revealed – this is a chronic autoimmune disease with articular and extraarticular manifestations of unknown etiology. Hereditary predisposition and environmental factors play an important role in the development of arthritis. The dynamics of the patient's clinical state and the applied approaches to treatment are described. Changes in computed tomography data for several years of observation are presented and discussed. Such situations often cause significant difficulties in the work of primary care specialists, often the diagnosis remains incorrect or unclear for a long time, which affects the tactics and effectiveness of treatment. In addition, this disease is often the cause of disability. Moreover, the prevalence of RA is about 1 %. The description of this case can be useful in the work of doctors of different specialties - therapists, pulmonologists, rheumatologists, GPs, etc.