咳嗽により肋骨骨折・気胸・皮下気腫を併発した慢性関節リウマチの1症例

Abstract

The patient was a 47-year old woman with interstitial pneumonia due to rheumatoid arthritis, who had been treated with adrenocortical steroid for many years. The patient had a sudden onset of right chest pain followed by cough attacks, and dyspnea became more severe after a few days. Chest X-ray showed a collapsed right lung, fracture of 6th, 7th, 8th and 9th ribs, and subcutaneous emphysema. In this case, it is suggested that rib fractures were induced by coughing, and the fractures developed with the injury of lung and pleura. And the fracture was considerd to be related with osteoporosis due to long-standing adrenocortical steroid therapy.