[Increasing dyspnoea and intermittent joint suffering]

In rheumatic diseases the possibility of pulmonary manifestation must always be considered and checked. Interstitial lung disease can often be fatal in these cases. In the presented case, the link between progressive dyspnea and newly occurring skin irritation is to be seen as particularly important. A good outcome can be achieved by immediate therapy with immunosuppression and plasmapheresis.

• Lehnert, N. M.
• Behr, J.
• Tufman, A.
• Briegel, I.
• Dinkel, J.