Am J Arthritis | Volume 5, Issue 1 | Case Report | Open Access

A Sudanese Female Case with Rheumatoid Arthritis and Bronchiectasis as a Presentation and Low Vitamin D Level

Mohammed Elmujtba Adam Essa1,2*, Ziryab Imad Taha1,3,7, Asaad Tageldein Idris Abdelhalim4, Mohey Aldein Ahmed Elamin Elnour5, Almigdad HM Ali6, Nuha Mohamed Ahmed Musa7, Asma Elhaj Ibrahim Abdulgadir8 and Abdelkareem A Ahmed9,10

1Department of Clinical Medicine, Medical and Cancer Research Institute (MCRI), Sudan
2Alfashir University, Sudan
3Department of Internal Medicine, University of Bahri, Sudan
4Department of Clinical Immunology, Sudan Medical Specialization Counsel, Sudan
5Omdurman Islamic University, Sudan
6University of Khartoum, Sudan
7Department of Internal Medicine and Rheumatology, Haj Alsafi Teaching Hospital, Sudan
8Department of Respiratory Medicine, Alshaab Teaching Hospital, Sudan
9Institute of Molecular Biology, University of Nyala, Sudan
10Department of Physiology and Biochemistry, University of Nyala, Sudan

*Correspondance to: Mohammed Elmujtba Adam Essa 

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Rheumatoid Arthritis (RA) is a common autoimmune multi-systemic inflammatory disease affecting joints result in dysfunction and ultimately damage. Bronchiectasis (BR) is a long term pulmonary condition that is characterized by permanent dilation of the bronchial, the association of RA and BR has been recognized since the past five decades. This is the first reported document
arthropathy in a female patient with bronchiectasis in Sudan. We aim to bring attention to the uncommon presentations and challenge of diagnosing patients of BR with RA. We are presenting 48 years old female complaining of chronic cough, chest pain and multiple joints pain. Examination showed Tender joints, Z-shape thumbs appearance figure and hyper flexed DIP deformity in index fingers. Chest auscultation reveals bilateral Coarse crackles disappears after coughing. Chest CT scan showed features suggested the diagnosis of BR, anti-CCP positive, rheumatoid factor IgM, all indicate a diagnosis of RA in addition, the patient has low serum Vitamin D. Patient received hydroxychloroquine, Mycophenolate mofetil, vitamin D and calcium supplements and her general condition is improved.


Rheumatoid arthritis; Bronchiectasis; Low vitamin D; Mycophenolate mofetil



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