--- title: "24-year-old woman: pulmonary infiltrates and effusions. | Sutter Health" description: "1. RA flares may present with multiorgan involvement without exacerbation of articular symptoms.2. Bilateral, patchy, alveolar pulmonary infiltrates on chest" url: "https://www.sutterhealth.org/research/publications/24-yo-woman-pulmonary-infiltrates-effusions-1055312831" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. 24-year-old woman: pulmonary infiltrates and effusions. # A 24-year-old woman with bilateral pulmonary infiltrates, pericardial effusion, and bilateral pleural effusions. Katikireddy CK, Krishna G, Berry G, Faul J, & Kuschner W. _Chest. 128(6):4013-7._ 2005-12-01 ## Abstract 1\. RA flares may present with multiorgan involvement without exacerbation of articular symptoms. 2\. Bilateral, patchy, alveolar pulmonary infiltrates on chest radiography in patient with RA should suggest organizing pneumonia. 3\. One should consider RA or other connective tissue disease in a patient presenting with pleuropericardial effusion and bilateral pulmonary infiltrates, as cardiopulmonary manifestations may rarely precede the arthritis. 4\. Organizing pneumonia secondary to RA typically has a good response to corticosteroids. [PubMed abstract](http://journal.publications.chestnet.org/article.aspx?articleid=1084099) ![Ganesh Krishna, M.D., FCCP](https://dyn.mktgcdn.com/p/7HZoN6h0d4phO4VQYcU6TE-_Cn72_cBpIS3NRGru51E/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Ganesh Krishna, M.D., FCCP Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/ganesh-krishna-md-fccp-1049681082) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Lung Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Lung+Diseases%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Parasitic pulmonary eosinophilia.](https://www.sutterhealth.org/research/publications/parasitic-pulmonary-eosinophilia-1055312949) Chitkara RK, Krishna G. Semin Respir Crit Care Med. 27(2):171-84. 2006 Apr 01 - Publication ### [Endobronchial ultrasound-guided transbronchial needle injection of liposomal amphotericin B for the treatment of symptomatic aspergilloma.](https://www.sutterhealth.org/research/publications/endobrachial-injection-amphotericin-b-aspergilloma-1055312303) Parikh MS, Seeley E, Nguyen-Tran E, Krishna G. J Bronchology Interv Pulmonol. doi: 10.1097/LBR.0000000000000383. \[Epub ahead of print\] 2017 Jun 05 - Publication ### [The dying thoracic patient.](https://www.sutterhealth.org/research/publications/dying-thoracic-patient-1055312967) Krishna G, Raffin TA. Chest Surg Clin N Am. 8(3):723-39. 1998 Aug 01 - Publication ### [A multicenter RCT of Zephyr® Endobronchial Valve treatment in heterogeneous emphysema (LIBERATE).](https://www.sutterhealth.org/research/publications/rct-zephyr-endobronchial-valve-tx-emphysema-liberate-1055312389) Criner GJ, Sue R, Wright S, Dransfield M, Rivas-Perez H, Wiese T, Sciurba FC, Shah PL, Wahidi MM, de Oliveira HG, Morrissey B, Cardoso PFG, Hays S, Majid A, Pastis N Jr, Kopas L, Vollenweider M, McFadden PM, Machuzak M, Hsia DW, Sung A, Jarad N, Kornaszewska M, Hazelrigg S, Krishna G, Armstrong B, Shargill NS, Slebos DJ; LIBERATE Study Group. Am J Respir Crit Care Med. doi: 10.1164/rccm.201803-0590OC. \[Epub ahead of print\] 2018 May 22 - Publication ### [New therapies for chronic obstructive pulmonary disease.](https://www.sutterhealth.org/research/publications/new-therapies-copd-1055312955) Krishna G, Sankaranarayanan V, Chitkara RK. Expert Opin Investig Drugs. 13(3):255-67. 2004 Mar 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/24-yo-woman-pulmonary-infiltrates-effusions-1055312831#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"24-year-old woman: pulmonary infiltrates and effusions."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/24-yo-woman-pulmonary-infiltrates-effusions-1055312831#medicalscholarlyarticle","name":"A 24-year-old woman with bilateral pulmonary infiltrates, pericardial effusion, and bilateral pleural effusions.","headline":"24-year-old woman: pulmonary infiltrates and effusions.","abstract":"1. 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