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Caplans syndrome physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor(s)-in-Chief: Sharmi Biswas, M.B.B.S

Overview

Common physical examination findings of Caplan Syndrome include typical Rheumatoid arthritis features as swollen, tender metacarpophalangeal and proximal interphalangeal joints. Pulmonary findings might include wheeze, crackles not improving with coughing.

Physical Examination

Most of the patients with Caplan Syndrome are asymptomatic. But following can be found on physical examination. [1] [2]

. Rheumatoid nodules.

. Swollen, tender metacarpophalangeal joints and interphalangeal joints.

[3]


. Wheeze and crackles in chest.

Appearance of the Patient

Vital Signs

Vital signs in patients with Caplan Syndrome are usually normal.

Skin

HEENT

Neck

Lungs

  • Auscultation may reveal diffuse râles that do not disappear on coughing or taking a deep breath.

Extremities

Heart

Abdomen

Back

Genitourinary

Neuromuscular

References

  1. Schreiber, J.; Koschel, D.; Kekow, J.; Waldburg, N.; Goette, A.; Merget, R. (2010). “Rheumatoid pneumoconiosis (Caplan’s syndrome)”. European Journal of Internal Medicine. 21 (3): 168–172. doi:10.1016/j.ejim.2010.02.004. ISSN 0953-6205.
  2. “StatPearls”. 2021. PMID 29763061. PMID: 29763061. Check |pmid= value (help).
  3. Alaya, Zeineb; Braham, Mouna; Aissa, Sana; Kalboussi, Houda; Bouajina, Elyès (2018). “A case of Caplan syndrome in a recently diagnosed patient with silicosis: A case report”. Radiology Case Reports. 13 (3): 663–666. doi:10.1016/j.radcr.2018.03.004. ISSN 1930-0433.

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