[Erasmus' syndrome with pseudo-tumour masses].

Abstract:

INTRODUCTION:Erasmus' syndrome involves the association of systemic scleroderma (SS) and exposure to silica. Silicosis may precede the SS but the latter may be the presentation, in which case a history of exposure to silica should be sought as part of the diagnosis. CASE REPORT:A 46-year-old man with history of pulmonary tuberculosis presented with dyspnoea and dysphagea. Clinical examination revealed thickening of the facial skin with a pointed nose, erythema and telangiectasia, Raynaud's syndrome and sclerodactyly. A thoracic CT scan revealed bilateral, fibrotic, pseudo-tumoural masses. Antinuclear antibodies, anti-topoisomerase 1 and antihistone were positive. CONCLUSION:The clinical presentation of Erasmus' syndrome associating systemic scleroderma and pulmonary pseudo-tumours may pose a problem of differential diagnosis from lung cancer. This condition requires regular clinical and radiological monitoring, particularly as both scleroderma and silicosis increase the risk of lung cancer.

journal_name

Rev Mal Respir

authors

Chaouch N,Mjid M,Zarrouk M,Rouhou SC,Ammous I,Hantous S,Racil H,Chabbou A

doi

10.1016/j.rmr.2011.06.003

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

924-7

issue

7

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(11)00271-3

journal_volume

28

pub_type

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