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Arthritis Res Ther. 2010;12(4):213. doi: 10.1186/ar3097. Epub 2010 Aug 23.

Interstitial lung disease in connective tissue diseases: evolving concepts of pathogenesis and management.

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  • 1Division of Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA. fcastelino@partners.org

Abstract

Interstitial lung disease (ILD) is a challenging clinical entity associated with multiple connective tissue diseases, and is a significant cause of morbidity and mortality. Effective therapies for connective tissue disease-associated interstitial lung disease (CTD-ILD) are still lacking. Multidisciplinary clinics dedicated to the early diagnosis and improved management of patients with CTD-ILD are now being established. There is rapid progress in understanding and identifying the effector cells, the proinflammatory and profibrotic mediators, and the pathways involved in the pathogenesis of CTD-ILD. Serum biomarkers may provide new insights as risk factors for pulmonary fibrosis and as measures of disease progression. Despite these recent advances, the management of patients with CTD-ILD remains suboptimal. Further studies are therefore urgently needed to better understand these conditions, and to develop effective therapeutic interventions.

PMID:
20735863
[PubMed - indexed for MEDLINE]
PMCID:
PMC2945045
Free PMC Article
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