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Lung disease is one of the extra-articular manifestations of rheumatoid arthritis (RA) and includes pleuritis, parenchymal nodules, interstitial fibrosis, and obstructive airway disease.1Increased risk of pulmonary infection and bronchiectasis (BC) are also seen.1 ,2 An association between RA and BC has been reported in some series of patients with RA, with an estimated prevalence of 5%.1 ,2 With the use of high resolution computed tomography (CT), this prevalence has been found to be higher, ranging from 6 to 50%.3 It has been claimed that the severity of the polyarthritis is similar in patients with and without BC.4 However, some authors noted a severe disease in patients with RA with BC when the polyarthritis preceded the lung disease.5 Additionally, patients with RA with BC had a reduced five year survival rate compared with those without BC.6 Secondary Sjögren's syndrome, recurrent pulmonary infections, and genetic background have been proposed to explain the relation between these two conditions.2 In this way, RA with BC has been found to be associated with HLA-DR1 and DQB1*0601.7 The association between RA and HLA-DRB1* …