Abstract
A 58-year-old female with rheumatoid arthritis (RA), osteoarthritis of the bilateral knees, thoracic vertebral compression fractures, steroid-induced osteoporosis, and immune thrombocytopenia (ITP) presented with bilateral side chest pain. She had been treated with prednisolone for RA and ITP for 10 years. On her current visit, a chest roentgenogram revealed bilateral rib fractures and hump-like shadows. A chest computed tomography scan revealed multiple rib fractures accompanied by hematoma that pressed fractured ribs into the bilateral lungs. Regarding abnormal shadows on the chest roentgenogram, blood discharge from the fractured ribs formed the hematoma, causing the hump-like shadows
Highlights
A 58-year-old female with rheumatoid arthritis (RA), osteoarthritis of the bilateral knees, thoracic vertebral compression fractures, steroid-induced osteoporosis, and immune thrombocytopenia (ITP) presented with bilateral side chest pain
A chest computed tomography (CT) scan revealed multiple rib fractures accompanied by hematoma that pressed fractured ribs into the bilateral lungs (Figure 2)
The corticosteroids often prescribed for the treatment of RA trigger a significant bone loss, resulting in osteoporosis and subsequent bone fracture
Summary
A 58-year-old female with rheumatoid arthritis (RA), osteoarthritis of the bilateral knees, thoracic vertebral compression fractures, steroid-induced osteoporosis, and immune thrombocytopenia (ITP) presented with bilateral side chest pain. Torakal vertebral kompresyon kırıkları, steroid kaynaklı osteoporoz ve immün trombositopeni (ITP) şikayetleri olan romatoid artritli (RA), 58 yaşında bir kadın hasta bilateral göğüs ağrısı ile başvurdu. On yıldır RA ve ITP için prednizolon tedavisi görmüştü. Bilateral kaburga kırığı ve hörgüç benzeri gölgeler gözlendi.
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