Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Chest. 2009 Nov;136(5):1397-405. doi: 10.1378/chest.09-0444.

Rheumatoid arthritis-associated interstitial lung disease: the relevance of histopathologic and radiographic pattern.

Author information

  • 1Division of Pulmonary and Critical CareMedicine, Department of Medicine, University of California at San Francisco, CA, USA. ekim@ucsf.edu

Abstract

Interstitial lung disease (ILD) is a frequent extraarticular manifestation of rheumatoid arthritis (RA). While the nonspecific interstitial pneumonia pattern predominates in most forms of connective tissue-associated ILD, studies in patients with RA-associated ILD (RA-ILD) suggest that the usual interstitial pneumonia (UIP) pattern is more common in this patient population. High-resolution CT (HRCT) scans appear accurate in identifying UIP pattern in many patients with RA-ILD. Although the data are limited, UIP pattern appears to predict worse survival in RA-ILD patients. Larger, prospective, multicenter studies are needed to confirm this finding. We propose that the evaluation of patients with RA-ILD should focus on identifying those with UIP pattern on HRCT scans, as these patients are likely to carry a worse prognosis. In patients in whom the underlying pattern cannot be determined by HRCT scanning, surgical lung biopsy should be considered.

PMID:
19892679
[PubMed - indexed for MEDLINE]
PMCID:
PMC2818853
Free PMC Article

Images from this publication.See all images (4)Free text

Figure 1
Figure 2
Figure 3
Figure 4
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Silverchair Information Systems Icon for PubMed Central
    Loading ...
    Write to the Help Desk