Systemic sarcoidosis associated with certolizumab pegol treatment for rheumatoid arthritis: A case report and review of the literature

10Citations
Citations of this article
24Readers
Mendeley users who have this article in their library.

Abstract

A 69-year-old woman presented with appetite loss, fatigue, and a low-grade fever. She had been receiving certolizumab pegol for rheumatoid arthritis for six years. Computed tomography of the chest showed multiple micronodules in both lungs and bilateral hilar and mediastinal lymphadenopathy. An ophthalmic examination showed the findings of uveitis. Lymphocytosis with an increased CD4/CD8 ratio was seen in the bronchoalveolar lavage fluid. Video-assisted thoracoscopic biopsy specimens obtained from the right lung and a right hilar lymph node showed noncaseous epithelioid cell granulomas. Anti-tumor necrosis factor-α-induced sarcoidosis was diagnosed, and she was successfully treated with cessation of certolizumab pegol and systemic corticosteroid therapy.

Cite

CITATION STYLE

APA

Koda, K., Toyoshima, M., Nozue, T., & Suda, T. (2020). Systemic sarcoidosis associated with certolizumab pegol treatment for rheumatoid arthritis: A case report and review of the literature. Internal Medicine. Japanese Society of Internal Medicine. https://doi.org/10.2169/internalmedicine.4275-19

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free