Interstitial Lung Disease in Rheumatoid Arthritis Remains a Challenge for Clinicians
Identifieur interne : 000B51 ( Main/Exploration ); précédent : 000B50; suivant : 000B52Interstitial Lung Disease in Rheumatoid Arthritis Remains a Challenge for Clinicians
Auteurs : Elisabeth Bendstrup [Danemark] ; Janne M Ller [Danemark] ; Sissel Kronborg-White [Danemark] ; Thomas Skovhus Prior [Danemark] ; Charlotte Hyldgaard [Danemark]Source :
- Journal of Clinical Medicine [ 2077-0383 ] ; 2019.
Abstract
Interstitial lung disease (ILD) is a serious complication of rheumatoid arthritis (RA) contributing to significantly increased morbidity and mortality. Other respiratory complications, such as chronic obstructive pulmonary disease and bronchiectasis, are frequent in RA. Infections and drug toxicity are important differential diagnoses and should be considered in the diagnostic work-up of patients with RA presenting with respiratory symptoms. This review provides an overview of the epidemiology and pathogenesis of RA-ILD, the radiological and histopathological characteristics of the disease as well as the current and future treatment options. Currently, there is no available evidence-based therapy for RA-ILD, and immunosuppressants are the mainstay of therapy. Ongoing studies are exploring the role of antifibrotic therapy in patients with progressive fibrotic ILD, which may lead to a new treatment approach for subgroups of patients with RA-ILD.
Url:
DOI: 10.3390/jcm8122038
PubMed: 31766446
PubMed Central: 6947091
Affiliations:
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id="af1-jcm-08-02038">Center for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Center for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus</wicri:regionArea><wicri:noRegion>8200 Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="M Ller, Janne" sort="M Ller, Janne" uniqKey="M Ller J" first="Janne" last="M Ller">Janne M Ller</name><affiliation wicri:level="1"><nlm:aff id="af1-jcm-08-02038">Center for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Center for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus</wicri:regionArea><wicri:noRegion>8200 Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Kronborg White, Sissel" sort="Kronborg White, Sissel" uniqKey="Kronborg White S" first="Sissel" last="Kronborg-White">Sissel Kronborg-White</name><affiliation wicri:level="1"><nlm:aff id="af1-jcm-08-02038">Center for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Center for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus</wicri:regionArea><wicri:noRegion>8200 Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Prior, Thomas Skovhus" sort="Prior, Thomas Skovhus" uniqKey="Prior T" first="Thomas Skovhus" last="Prior">Thomas Skovhus Prior</name><affiliation wicri:level="1"><nlm:aff id="af1-jcm-08-02038">Center for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Center for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus</wicri:regionArea><wicri:noRegion>8200 Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Hyldgaard, Charlotte" sort="Hyldgaard, Charlotte" uniqKey="Hyldgaard C" first="Charlotte" last="Hyldgaard">Charlotte Hyldgaard</name><affiliation wicri:level="1"><nlm:aff id="af2-jcm-08-02038">Diagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Falkevej 1-3, 8600 Silkeborg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Diagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Falkevej 1-3, 8600 Silkeborg</wicri:regionArea><wicri:noRegion>8600 Silkeborg</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical Medicine</title><idno type="eISSN">2077-0383</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Interstitial lung disease (ILD) is a serious complication of rheumatoid arthritis (RA) contributing to significantly increased morbidity and mortality. Other respiratory complications, such as chronic obstructive pulmonary disease and bronchiectasis, are frequent in RA. Infections and drug toxicity are important differential diagnoses and should be considered in the diagnostic work-up of patients with RA presenting with respiratory symptoms. This review provides an overview of the epidemiology and pathogenesis of RA-ILD, the radiological and histopathological characteristics of the disease as well as the current and future treatment options. Currently, there is no available evidence-based therapy for RA-ILD, and immunosuppressants are the mainstay of therapy. Ongoing studies are exploring the role of antifibrotic therapy in patients with progressive fibrotic ILD, which may lead to a new treatment approach for subgroups of patients with RA-ILD.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Young, A" uniqKey="Young A">A. 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Devaraj</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li></country></list><tree><country name="Danemark"><noRegion><name sortKey="Bendstrup, Elisabeth" sort="Bendstrup, Elisabeth" uniqKey="Bendstrup E" first="Elisabeth" last="Bendstrup">Elisabeth Bendstrup</name></noRegion><name sortKey="Hyldgaard, Charlotte" sort="Hyldgaard, Charlotte" uniqKey="Hyldgaard C" first="Charlotte" last="Hyldgaard">Charlotte Hyldgaard</name><name sortKey="Kronborg White, Sissel" sort="Kronborg White, Sissel" uniqKey="Kronborg White S" first="Sissel" last="Kronborg-White">Sissel Kronborg-White</name><name sortKey="M Ller, Janne" sort="M Ller, Janne" uniqKey="M Ller J" first="Janne" last="M Ller">Janne M Ller</name><name sortKey="Prior, Thomas Skovhus" sort="Prior, Thomas Skovhus" uniqKey="Prior T" first="Thomas Skovhus" last="Prior">Thomas Skovhus Prior</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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