Caplans syndrome historical perspective: Difference between revisions

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*[[Caplan Syndrome]] was first discovered by Dr. Anthony Caplan, a British physician, in 1953.<ref name="SchreiberKoschel2010">{{cite journal|last1=Schreiber|first1=J.|last2=Koschel|first2=D.|last3=Kekow|first3=J.|last4=Waldburg|first4=N.|last5=Goette|first5=A.|last6=Merget|first6=R.|title=Rheumatoid pneumoconiosis (Caplan's syndrome)|journal=European Journal of Internal Medicine|volume=21|issue=3|year=2010|pages=168–172|issn=09536205|doi=10.1016/j.ejim.2010.02.004}}</ref>
*[[Caplan Syndrome]] was first discovered by Dr. Anthony Caplan, a British physician, in 1953.
*In 1955, theory of [[tuberculous]] [[rheumatism]] and [[tuberculous]] [[pneumoconiosis]] were developed which got abandoned later.
* In 1940 and 1955, rheumatoid nodules were described in [[autopsy]] study of [[heart]] and [[lungs]].
* In 1948,Ellman and Ball reported the [[pulmonary]] [[nodules]] found in coal miners were prevalent only in men with dust exposures and not related to ordinary [[silicosis]] or [[rheumatoid arthritis]].
* An [[epidemiological]] study was conducted by Miall and associates in 1955 to determine the valididty of [[Caplan syndrome]].
* In 1958, J. Gough described the [[histological]] criterias to [[diagnose]] [[Caplan syndrome]].<ref name="SchreiberKoschel2010">{{cite journal|last1=Schreiber|first1=J.|last2=Koschel|first2=D.|last3=Kekow|first3=J.|last4=Waldburg|first4=N.|last5=Goette|first5=A.|last6=Merget|first6=R.|title=Rheumatoid pneumoconiosis (Caplan's syndrome)|journal=European Journal of Internal Medicine|volume=21|issue=3|year=2010|pages=168–172|issn=09536205|doi=10.1016/j.ejim.2010.02.004}}</ref> <ref name="GoughRivers1955">{{cite journal|last1=Gough|first1=J.|last2=Rivers|first2=D.|last3=Seal|first3=R. M. E.|title=Pathological Studies of Modified Pneumoconiosis in Coal-miners with Rheumatoid Arthritis (Caplan's Syndrome)|journal=Thorax|volume=10|issue=1|year=1955|pages=9–18|issn=0040-6376|doi=10.1136/thx.10.1.9}}</ref> <ref>{{cite journal|doi=10.1164/artpd.1958.78.2.274?journalCode=artpd}}</ref>
 


*The association between [[intrapulmonary nodules]] and [[rheumatoid arthritis]] was made in the radiologic findings of [[chest x ray]] in the [[coal miners]].
*The association between [[intrapulmonary nodules]] and [[rheumatoid arthritis]] was made in the radiologic findings of [[chest x ray]] in the [[coal miners]].

Revision as of 17:24, 16 June 2021

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

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Overview

In 1953, the chest x ray findings of multiple pulmonary nodules, in the coal miners with Rheumatoid Arthritis(RA) of Welsh, was described by Caplan. In 13 coal miners with RA, along with the small silicotic nodules, well defined, larger lung nodules were found. Caplan identified that miners with pulmonary nodules on chest x ray eventually developed arthritis though they were not diagnosed cases of RA. Though Caplan's initial idea was of infectious etiology, two years later several cases of ' rheumatoid pneumoconiosis' with tuberculosis were reported. But the theory of rheumatoid pneumoconiosis and tuberculous pneumoconiosis got rejected by the time. Caplan's syndrome concept was expanded to cover the exposure to all inorganic dusts from different sources. In 1940 and 1950, rheumatoid nodules were identified by several authors in autopsy studies of different organs as heart and lungs. But relation to silica exposure was not discussed. Years later after Caplan's publication, multiple cases with pulmonary nodules in miners with RA were reported. But 20 cases with lung nodules were reported without any dust exposure.

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Caplan's syndrome was originally described in coal miners with progressive massive fibrosis.

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. Gough, J.; Rivers, D.; Seal, R. M. E. (1955). "Pathological Studies of Modified Pneumoconiosis in Coal-miners with Rheumatoid Arthritis (Caplan's Syndrome)". Thorax. 10 (1): 9–18. doi:10.1136/thx.10.1.9. ISSN 0040-6376.
  3. . doi:10.1164/artpd.1958.78.2.274?journalCode=artpd. Missing or empty |title= (help)