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Lung India Official publication of Indian Chest Society  
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CASE REPORT
Year : 2014  |  Volume : 31  |  Issue : 4  |  Page : 390-393

Bilateral pleural effusion with APLA positivity in a case of rhupus syndrome


1 Department of Pulmonary Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
2 Calcutta National Medical College, Kolkata, West Bengal, India
3 Midnapore Medical College, Midnapur, West Bengal, India

Correspondence Address:
Dr. Kaushik Saha
Rabindra Pally, 1st Lane, Nimta, Kolkata - 700 049, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.142133

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Rhupus syndrome is a rare syndrome characterized by overlap of rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Our patient was a diagnosed case of RA and developed SLE 2 years after. She was a middle-aged woman, presented with bilateral pleural effusion with exacerbation of skin and joint symptoms of SLE. We diagnosed the case as tubercular pleural effusion by positive Mycobacterium tuberculosis in bactec 460 culture. She had also anti-phospholipid antibody positivity without any symptoms and signs of thrombosis.


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