Shrinking lung syndrome in systemic lupus erythematosus patients; clinical characteristics, disease activity and damage
Identifieur interne : 001507 ( Main/Exploration ); précédent : 001506; suivant : 001508Shrinking lung syndrome in systemic lupus erythematosus patients; clinical characteristics, disease activity and damage
Auteurs : Tamer A. Gheita ; Ghada S. Azkalany ; Hussein S. El-Fishawy ; Abeer M. Nour Eldin [Égypte]Source :
- International Journal of Rheumatic Diseases [ 1756-1841 ] ; 2011-10.
English descriptors
- Teeft :
- American college, Antinuclear antibody, Arthritis, Arthritis rheum, Cairo university, Case report, Chest pain, Clin rheumatol, Clinical course, Copula, Corresponding values, Corticosteroid, Corticosteroid therapy, Corticosteroids cyclo, Damage scores, Demographic features, Diaphragm dysfunction, Diaphragm function, Disease activity, Disease duration, Disease manifestations, Disease onset, Dysfunction, Dyspnea, Erythematosus, Erythrocyte sedimentation rate, Exertional dyspnea, Expiratory volume, Full history, International journal, Laboratory manifestations, Lung involvement, Lung syndrome, Lung volumes, Lungs syndrome, Lupus, Lupus patients, Male ratio, Manifestation, Ndings, Parenchymal disease, Pediatr pulmonol, Pfts, Pleural effusion, Pleural involvement, Present study, Pulmonary damage, Pulmonary function tests, Pulmonary manifestations, Radiological, Radiological characteristics, Relevant radiological investigations, Renal, Renal biopsy, Renal biopsy class, Respiratory involvement, Respiratory manifestations, Respiratory system, Restrictive pattern, Rheum, Rheumatic, Rheumatic diseases, Semin arthritis rheum, Sjogren syndrome, Slicc, Syndrome, Systemic, Systemic lupus, Systemic lupus erythematosus, Systemic lupus erythematosus disease activity index, Systemic lupus erythematosus patients, Unexplained dyspnea, Urine protein, Vital capacity.
Abstract
Aim: To detect the prevalence of shrinking lung syndrome (SLS) among systemic lupus erythematosus (SLE) patients and study their clinical, laboratory and radiological characteristics and differences in disease activity and damage. Methods: The study included 200 Egyptian SLE patients and SLS was considered in those with exertional dyspnea, restrictive pulmonary function tests (PFTs) and elevated copula of the diaphragm. Full history taking, thorough clinical examination, laboratory and relevant radiological investigations were performed for all the patients. High‐resolution computed tomography scans of the chest were performed for patients with radiological findings consistent with SLS and those with pulmonary manifestations. Results: The mean age of the patients was 29.3 ± 8.4 years, mean disease duration 5.81 ± 4.32 years and female to male ratio was 9 : 1. SLS was present in 27 patients (13.5%) with a female to male ratio of 3.5 : 1.0. The demographic features, clinical and laboratory manifestations, renal biopsy class, disease activity and damage scores, PFTs and radiological findings of the SLE patients are presented. Conclusion: Shrinking lung syndrome is not rare and presents a considerable subset of SLE patients. In SLE patients with dyspnea or chest pain, SLS should be looked for and PFTs are highly suggestive.
Url:
DOI: 10.1111/j.1756-185X.2011.01651.x
Affiliations:
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Nour Eldin</name><affiliation wicri:level="1"><country xml:lang="fr">Égypte</country><wicri:regionArea>Pediatric Department, National Research Centre, Cairo</wicri:regionArea><wicri:noRegion>Cairo</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">International Journal of Rheumatic Diseases</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES</title><idno type="ISSN">1756-1841</idno><idno type="eISSN">1756-185X</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="361">361</biblScope><biblScope unit="page" to="368">368</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-10">2011-10</date></imprint><idno type="ISSN">1756-1841</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1756-1841</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>American college</term><term>Antinuclear antibody</term><term>Arthritis</term><term>Arthritis rheum</term><term>Cairo university</term><term>Case report</term><term>Chest pain</term><term>Clin rheumatol</term><term>Clinical course</term><term>Copula</term><term>Corresponding values</term><term>Corticosteroid</term><term>Corticosteroid therapy</term><term>Corticosteroids cyclo</term><term>Damage scores</term><term>Demographic features</term><term>Diaphragm dysfunction</term><term>Diaphragm function</term><term>Disease activity</term><term>Disease duration</term><term>Disease manifestations</term><term>Disease onset</term><term>Dysfunction</term><term>Dyspnea</term><term>Erythematosus</term><term>Erythrocyte sedimentation rate</term><term>Exertional dyspnea</term><term>Expiratory volume</term><term>Full history</term><term>International journal</term><term>Laboratory manifestations</term><term>Lung involvement</term><term>Lung syndrome</term><term>Lung volumes</term><term>Lungs syndrome</term><term>Lupus</term><term>Lupus patients</term><term>Male ratio</term><term>Manifestation</term><term>Ndings</term><term>Parenchymal disease</term><term>Pediatr pulmonol</term><term>Pfts</term><term>Pleural effusion</term><term>Pleural involvement</term><term>Present study</term><term>Pulmonary damage</term><term>Pulmonary function tests</term><term>Pulmonary manifestations</term><term>Radiological</term><term>Radiological characteristics</term><term>Relevant radiological investigations</term><term>Renal</term><term>Renal biopsy</term><term>Renal biopsy class</term><term>Respiratory involvement</term><term>Respiratory manifestations</term><term>Respiratory system</term><term>Restrictive pattern</term><term>Rheum</term><term>Rheumatic</term><term>Rheumatic diseases</term><term>Semin arthritis rheum</term><term>Sjogren syndrome</term><term>Slicc</term><term>Syndrome</term><term>Systemic</term><term>Systemic lupus</term><term>Systemic lupus erythematosus</term><term>Systemic lupus erythematosus disease activity index</term><term>Systemic lupus erythematosus patients</term><term>Unexplained dyspnea</term><term>Urine protein</term><term>Vital capacity</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aim: To detect the prevalence of shrinking lung syndrome (SLS) among systemic lupus erythematosus (SLE) patients and study their clinical, laboratory and radiological characteristics and differences in disease activity and damage. Methods: The study included 200 Egyptian SLE patients and SLS was considered in those with exertional dyspnea, restrictive pulmonary function tests (PFTs) and elevated copula of the diaphragm. Full history taking, thorough clinical examination, laboratory and relevant radiological investigations were performed for all the patients. High‐resolution computed tomography scans of the chest were performed for patients with radiological findings consistent with SLS and those with pulmonary manifestations. Results: The mean age of the patients was 29.3 ± 8.4 years, mean disease duration 5.81 ± 4.32 years and female to male ratio was 9 : 1. SLS was present in 27 patients (13.5%) with a female to male ratio of 3.5 : 1.0. The demographic features, clinical and laboratory manifestations, renal biopsy class, disease activity and damage scores, PFTs and radiological findings of the SLE patients are presented. Conclusion: Shrinking lung syndrome is not rare and presents a considerable subset of SLE patients. In SLE patients with dyspnea or chest pain, SLS should be looked for and PFTs are highly suggestive.</div></front></TEI><affiliations><list><country><li>Égypte</li></country></list><tree><noCountry><name sortKey="Azkalany, Ghada S" sort="Azkalany, Ghada S" uniqKey="Azkalany G" first="Ghada S." last="Azkalany">Ghada S. Azkalany</name><name sortKey="El Ishawy, Hussein S" sort="El Ishawy, Hussein S" uniqKey="El Ishawy H" first="Hussein S." last="El-Fishawy">Hussein S. El-Fishawy</name><name sortKey="Gheita, Tamer A" sort="Gheita, Tamer A" uniqKey="Gheita T" first="Tamer A." last="Gheita">Tamer A. Gheita</name></noCountry><country name="Égypte"><noRegion><name sortKey="Nour Eldin, Abeer M" sort="Nour Eldin, Abeer M" uniqKey="Nour Eldin A" first="Abeer M." last="Nour Eldin">Abeer M. 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