• 대한영상의학회지
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• 제85권4호
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• pp.789-794
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• 2024

본 증례 보고에서는 가속화된 진행성거대섬유증으로 오인된 카플란 증후군을 소개한다. 환자는 15년 전 탄광부진폐증을 진단받고 20년 이상 류마티스관절염 치료를 받은 자로 연속적인 CT 검사에서 진행거대섬유증의 진행과 함께 폐기저부에 동공을 동반한 다발성 폐결절이 관찰되었다. CT상 가속화된 진행성거대섬유증 소견으로 오인할 수 있는 카플란 증후군 증례를 보고하고자 한다.

• Tuberculosis and Respiratory Diseases
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• 제70권2호
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• pp.150-154
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• 2011

We report a case of Caplan's Syndrome, which presented as multiple pulmonary nodules. A 58-year-old male was admitted to hospital due to multiple pulmonary nodules. In addition, the patient presented with multiple arthritis, and dyspnea on exertion. Rheumatoid arthritis had been diagnosed 35 years ago. The patient had worked as a stonemason for 20 years. Computed Tomography (CT) revealed numerous well-defined tiny nodules scattered in both lungs, which was suspicious of miliary tuberculosis or malignancy. The patient was started on antituberculous medications and referred to our hospital. First, a transbronchial lung biopsy was performed, which showed no evidence of granuloma. It was our opinion that the biopsy was insufficient, and a follow-up video-associated thoracoscopy was performed. The pathological report determined necrotizing granulomatous inflammation and silicosis on background. According to imaging studies, pathologic reports, and clinical symptoms, we concluded that the patient had Caplan's syndrome. We controlled his rheumatic medications, and instructed him to avoid exposure to hazardous dust.