AU - Mahmoud, Ines AU - Tekaya, Aicha Ben AU - Tekaya, Rawdha AU - Saidane, Olfa AU - Gafsi, Leila AU - Benhammou, Mathilde AU - Bruno, Fautrel TI - Pulmonary nodules in a patient with rheumatoid arthritis: Which diagnostic approach is the most appropiate? PT - JOURNAL ARTICLE TA - babol-caspjim JN - babol-caspjim VO - 8 VI - 3 IP - 3 4099 - http://caspjim.com/article-1-740-en.html 4100 - http://caspjim.com/article-1-740-en.pdf SO - babol-caspjim 3 ABĀ  - Background: Pulmonary nodular excavation should firstly evoke tuberculosis or necrosis broncho-pulmonary tumor, particularly: epidermoid carcinoma. The case discussed here illustrated these difficulties in patients with rheumatoid arthritis (RA). Case Presentation: A 63-year-old woman was presented with a-three-year history of RA and a recent discovery of an excavated pulmonary nodule. Initial investigations focused on a rheumatoid origin. The evolution of the disease was worrisome and surgical exploration was deemed mandatory. The result was the discovery of a nodule of a malignant nature. Conclusion: In this paper, we discussed the excavation of the pulmonary nodule, its diagnoses and management of the difficulties we encountered. CP - IRAN IN - TunisDepartment Of Rheumatology, Charles Nicolle, Tunis, Tunisia. LG - eng PB - babol-caspjim PG - 220 PT - case report YR - 2017