%0 Journal Article
%T May 2013 pulmonary case of the month: the cure can be worse than the disease
%A Wesselius LJ
%A Colby TV
%J Southwest Journal of Pulmonary and Critical Care
%D 2013
%I Arizona Thoracic Society
%X No abstract available. Article truncated after 150 words. History of Present Illness A 65 year old man from Colorado presented for evaluation of ¡°lung masses.¡± He had a prior diagnosis of dermatomyositis made in 2010 and had been with intravenous immunoglobulin (IVIG), prednisone and methotrexate. He had been previously seen in January, 2011 with a 5 mm left lower lobe nodule on thoracic CT which was unchanged compared to August, 2010. A thoracic CT scan done in July, 2011 in Colorado was interpreted as stable. Over the prior month had been having chest discomfort. He had a history of pulmonary embolism (PE) and felt the pain was similar in quality to his prior PE. This prompted a chest x-ray and he was told of ¡°lung masses¡±. He had also experienced 20 pound weight loss. His current medications included methotrexate 25 mg weekly, prednisone 3 mg every other day and warfarin 7 mg daily. PMH, SH, FH In addition ¡­
%K dermatomyositis
%K methotrexate
%K lymphoma
%K Epstein-Barr virus
%K Reed-Sternberg cells
%K lymphoproliferative disease
%K immunodeficiency-related lymphoproliferative disease
%K methotrexate-associated lymphoproliferative disease
%U http://www.swjpcc.com/pulmonary/2013/5/1/may-2013-pulmonary-case-of-the-month-the-cure-can-be-worse-t.html