A 45-year-old crane operator at a construction site with pre-existing seropositive rheumatoid ahritis complains of progressive difficulty in breathing. On examination – Rheumatoid nodules are also present. Chest X-ray was performed. What is the diagnosis?
Correct Answer: Caplan syndrome
Description: CXR of this patient is suggestive of - Pneumoconiosis On examination - Rheumatoid nodules are also present. This points to diagnosis of Caplan syndrome. CAPLAN Syndrome: Coal worker pneumoconiosis + Rheumatoid nodules Felty's syndrome- Rheumatoid ahritis with splenomegaly and neutropenia
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