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April 3, 1978

Psoriatic Spondylitis: Association With Advanced Nongranulomatous Upper Lobe Pulmonary Fibrosis

Author Affiliations

From the Departments of Internal Medicine, Section of Rheumatology (Drs Guzman and Gall), Tucson Veterans Administration Hospital, Tucson, Ariz; the Departments of Internal Medicine (Drs Guzman and Gall) and Radiology (Dr Pitt), University of Arizona College of Medicine, Tucson; and the Department of Radiology (Dr Lull), Phoenix Veterans Administration Hospital, Phoenix, Ariz. Dr Guzman is now with the University of Santiago, Santiago, Chile.

JAMA. 1978;239(14):1416-1417. doi:10.1001/jama.1978.03280410058021

We describe the case of a patient with psoriasis, peripheral and axial arthropathy, and upper lobe fibrosis. This association of findings has not, to the best of our knowledge, been described in the past. Pulmonary fibrosis is not found to be more common in people with psoriasis than would be expected in a control Veterans Administration population and, while this association may be coincidental, pulmonary fibrosis in psoriatic spondylitis should be searched for in other patients.

(JAMA 239:1416-1417, 1978)