A Practical Multidisciplinary Approach to Identifying Interstitial Lung Disease in Systemic Autoimmune Rheumatic Diseases: A Clinician's Narrative Review

被引:0
作者
Biciusca, Viorel [1 ]
Rosu, Anca [2 ]
Stan, Sorina Ionelia [1 ]
Cioboata, Ramona [1 ]
Biciusca, Teodora [3 ]
Balteanu, Mara Amalia [4 ]
Florescu, Cristina [5 ]
Camen, Georgiana Cristiana [6 ]
Cimpeanu, Ovidiu [7 ]
Bumbea, Ana Maria [8 ]
Boldeanu, Mihail Virgil [9 ]
Banicioiu-Covei, Simona [2 ]
机构
[1] Univ Med & Pharm Craiova, Fac Med, Dept Internal Med Pneumol, Craiova 200349, Romania
[2] Univ Med & Pharm Craiova, Fac Med, Dept Internal Med Rheumatol, Craiova 200349, Romania
[3] Goethe Univ Hosp Frankfurt, Inst Diagnost & Intervent Radiol, Theodor Stern Kai 7, D-60596 Frankfurt, Germany
[4] Titu Maiorescu Univ, Fac Med, Dept Pneumol, Bucharest 031593, Romania
[5] Univ Med & Pharm Craiova, Fac Med, Dept Internal Med Cardiol, Craiova 200349, Romania
[6] Univ Med & Pharm Craiova, Fac Med, Dept Radiol & Med Imaging, Craiova 200349, Romania
[7] Clin Hosp Infect Dis Victor Babes, Craiova 200515, Romania
[8] Univ Med & Pharm Craiova, Fac Med Assistance, Dept Med Rehabil, Craiova 200349, Romania
[9] Univ Med & Pharm Craiova, Fac Med, Dept Immunol, Craiova 200349, Romania
关键词
multidisciplinary approach; systemic autoimmune rheumatic diseases; interstitial lung disease; early diagnosis; CONNECTIVE-TISSUE DISEASE; IDIOPATHIC INFLAMMATORY MYOSITIS; PRIMARY SJOGRENS-SYNDROME; LONG-TERM SURVIVAL; PULMONARY INVOLVEMENT; RISK-FACTORS; BRONCHOALVEOLAR LAVAGE; CT FINDINGS; SCLEROSIS; PNEUMONIA;
D O I
10.3390/diagnostics14232674
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Interstitial lung disease (ILD) is one of the common and potentially lethal manifestations of systemic autoimmune rheumatic diseases (SARDs). ILD's prevalence, clinical patterns, imaging, and natural history are variable. Each of the representative diseases-systemic sclerosis (SSc), idiopathic inflammatory myopathies (IIMs), rheumatoid arthritis (RA), Sjogren's syndrome (SjS), mixed connective tissue disease (MCTD), systemic lupus erythematosus (SLE)-have distinct clinical, paraclinical and evolutionary features. Risk factors with predictive value for ILD have been identified. This review summarizes, from the clinician's perspective, recent data from the literature regarding the specificity of ILD for each of the autoimmune rheumatic diseases, with an emphasis on the role of the multidisciplinary team in early diagnosis, case management, as well as the particularities of the clinical approach to the progressive phenotype of ILD in SARDs.
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页数:28
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