Acute lung involvement in RA is not always ILD

Shivaputrappa Ghanti, S. Chandrashekara, B. Raj, Devaraj Kori, Ramkrishna Giri
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Abstract

Rheumatoid arthritis is a systemic inflammatory disorder with diverse extra-articular manifestations including vasculitis, lung disease, inflammatory eye disease and subcutaneous nodule formation. Among these manifestations, lung disease has been identified as a primary contributor of morbidity and mortality. The predominance of non-specific interstitial pneumonia pattern has been observed in most forms of connective tissue-associated ILD. Studies have demonstrated that the usual interstitial pneumonia (UIP) pattern is more prevalent among patients with RA-associated ILD. The extra-articular manifestations have been noted in nearly 50% of the patients, and the lung involvement in majority of the cases.8, 9 This study details the occurrence of lung involvement of viral etiology in RA, which could be misdiagnosed as RA-associated ILD.
RA的急性肺部受累并不总是ILD
类风湿关节炎是一种全身性炎症性疾病,具有多种关节外表现,包括血管炎、肺病、炎症性眼病和皮下结节形成。在这些表现中,肺部疾病已被确定为发病率和死亡率的主要原因。在大多数结缔组织相关性ILD中,非特异性间质性肺炎的优势已被观察到。研究表明,通常间质性肺炎(UIP)模式在ra相关ILD患者中更为普遍。近50%的患者有关节外表现,大多数病例累及肺部。8,9本研究详细说明了RA中病毒性病因累及肺部的发生,这可能被误诊为RA相关的ILD。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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