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A 54-year-old man presented with a history of cough, expectoration and breathlessness which had been worsening over the past 1 year. He did not have fever, night sweats or weight loss. He had been diagnosed to have rheumatoid arthritis 8 years ago. Examination showed synovitis in the metacarpophalangeal joints and wrists; deformities suggestive of rheumatoid arthritis were seen in multiple joints. Auscultation of the chest revealed bilateral infrascapular coarse crepitations. Interstitial lung disease …
Contributors Both the authors contributed equally to the preparation of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
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