Evaluation of pulmonary involvement in systemic rheumatic diseases with high resolution computed tomography and pulmonary function test : A single-center experience
INTRODUCTION: The objective of this study was to investigate the clinical and radiological features and pulmonary function tests (PFTs) in patients with the pulmonary involvement of systemic rheumatic diseases (SRDs).
MATERIALS AND METHODS: This study was conducted as a retrospective and single-center study. Patients diagnosed with an SRD and admitted/referred to the department of chest diseases of our hospital between January 2015 and June 2019 were enrolled. All patients were evaluated using High Resolution Computed Tomography (HRCT) and PFT.
RESULT: This study included 68 patients (15 males, 53 females) with a mean age of 62.38 ± 12.4 years. Forty-one (60.2%) patients had diagnosis of rheumatoid arthritis (RA), 10 (14.7%) patients had sjögren's syndrome (SS), 8 (11.7%) patients had systemic lupus erythematosus (SLE), 6 (8.8%) patients had systemic sclerosis (SSc), and 3 (4.4%) patients had mixed connective tissue disease (MCTD). While RA, SLE, MCTD patients were more commonly symptomatic, most of the SS patients were asymptomatic. Overall, 30 (44.1%) patients had normal PFT. Although 30 (%44.1) patients were asymptomatic and 30 (%44.1) patients had normal PFTs, at least one imaging finding was found in all patients according to HRCT imaging. "Bronchiectasis" was the most common HRCT finding in RA, followed by "chronic fibrotic changes" and "peribronchial thickening". "Chronic fibrotic changes" and "peribronchial thickening" were the most common changes in SS. Similarly, "peribronchial thickening" was the most common radiologic finding in SLE. As for SSc, "chronic fibrotic changes", "interlobular septal thickening", and "pleural effusion" were the most common radiologic findings.
CONCLUSIONS: Pulmonary involvement in systemic rheumatic diseases can occur with various radiological images even in asymptomatic patients. PFTs can be normal as well as an obstructive, restrictive or mixed pattern can be seen. Heterogeneous and combined HRCT findings can be seen in SRD patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:69 |
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| Enthalten in: |
Tuberkuloz ve toraks - 69(2021), 2 vom: 07. Juni, Seite 125-132 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Sistemik romatizmal hastalıklarda akciğer tutulumunun, yüksek çözünürlüklü bilgisayarlı tomografi ve solunum fonksiyon testi ile değerlendirilmesi: Tek merkez deneyimi |
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| Beteiligte Personen: |
Pazarlı, Ahmet Cemal [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 23.07.2021 Date Revised 24.04.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.5578/tt.20219801 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM328021849 |
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| 100 | 1 | |a Pazarlı, Ahmet Cemal |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Evaluation of pulmonary involvement in systemic rheumatic diseases with high resolution computed tomography and pulmonary function test |b A single-center experience |
| 246 | 3 | 3 | |a Sistemik romatizmal hastalıklarda akciğer tutulumunun, yüksek çözünürlüklü bilgisayarlı tomografi ve solunum fonksiyon testi ile değerlendirilmesi: Tek merkez deneyimi |
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| 500 | |a Date Completed 23.07.2021 | ||
| 500 | |a Date Revised 24.04.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION: The objective of this study was to investigate the clinical and radiological features and pulmonary function tests (PFTs) in patients with the pulmonary involvement of systemic rheumatic diseases (SRDs) | ||
| 520 | |a MATERIALS AND METHODS: This study was conducted as a retrospective and single-center study. Patients diagnosed with an SRD and admitted/referred to the department of chest diseases of our hospital between January 2015 and June 2019 were enrolled. All patients were evaluated using High Resolution Computed Tomography (HRCT) and PFT | ||
| 520 | |a RESULT: This study included 68 patients (15 males, 53 females) with a mean age of 62.38 ± 12.4 years. Forty-one (60.2%) patients had diagnosis of rheumatoid arthritis (RA), 10 (14.7%) patients had sjögren's syndrome (SS), 8 (11.7%) patients had systemic lupus erythematosus (SLE), 6 (8.8%) patients had systemic sclerosis (SSc), and 3 (4.4%) patients had mixed connective tissue disease (MCTD). While RA, SLE, MCTD patients were more commonly symptomatic, most of the SS patients were asymptomatic. Overall, 30 (44.1%) patients had normal PFT. Although 30 (%44.1) patients were asymptomatic and 30 (%44.1) patients had normal PFTs, at least one imaging finding was found in all patients according to HRCT imaging. "Bronchiectasis" was the most common HRCT finding in RA, followed by "chronic fibrotic changes" and "peribronchial thickening". "Chronic fibrotic changes" and "peribronchial thickening" were the most common changes in SS. Similarly, "peribronchial thickening" was the most common radiologic finding in SLE. As for SSc, "chronic fibrotic changes", "interlobular septal thickening", and "pleural effusion" were the most common radiologic findings | ||
| 520 | |a CONCLUSIONS: Pulmonary involvement in systemic rheumatic diseases can occur with various radiological images even in asymptomatic patients. PFTs can be normal as well as an obstructive, restrictive or mixed pattern can be seen. Heterogeneous and combined HRCT findings can be seen in SRD patients | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a İnönü Köseoğlu, Handan |e verfasserin |4 aut | |
| 700 | 1 | |a Yüksekkaya Çelikyay, Ruken |e verfasserin |4 aut | |
| 700 | 1 | |a Ekiz, Timur |e verfasserin |4 aut | |
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