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The Burden of Interstitial Lung Involvement in Rheumatoid Arthritis: Could Lung Ultrasound Have a Role in Its Detection? A Literature Review
被引:0
|作者:
Lepri, Gemma
[1
]
Markovic, Milica
[1
]
Bellando-Randone, Silvia
[1
]
Sebastiani, Marco
[2
,3
]
Guiducci, Serena
[1
]
机构:
[1] Univ Florence, Dept Expt & Clin Med, Div Rheumatol, AOU Careggi, Via Oblate 4, I-50141 Florence, Italy
[2] Univ Parma, Dept Med & Surg, I-43126 Parma, Italy
[3] Guglielmo da Saliceto Hosp, Rheumatol Unit, I-29121 Piacenza, Italy
来源:
关键词:
rheumatoid arthritis;
interstitial lung disease;
lung ultrasound;
B-lines;
high resolution computed tomography;
SYSTEMIC-SCLEROSIS;
PULMONARY-FIBROSIS;
RISK-FACTORS;
DISEASE;
PREVALENCE;
PNEUMONIA;
DIAGNOSIS;
MORTALITY;
D O I:
10.3390/diagnostics14131430
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Lung involvement represents a fearful complication in rheumatoid arthritis (RA), potentially involving all compartments of the pulmonary system. Regarding interstitial lung disease (ILD), the HRCT represents the gold standard technique for its diagnosis; however, the examination is burdened by radiation exposure and high costs. In addition, although some risk factors for ILD are known, no algorithms exist to know which patients to submit to HRCT and when. In this context, lung ultrasound (LUS) showed promising results for at least 10 years, demonstrating correlation with high resolution computed tomography (HRCT) findings in other rheumatic diseases. Here, LUS may represent a screening test providing additional information to clinical examination and pulmonary function tests. The data deriving from LUS experience in other rheumatic diseases could steer the future towards the use of this technique also in RA patients, and in this review, we report the most relevant literature regarding LUS in RA-ILD.
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