Is JAK inhibition an option in the treatment of interstitial lung disease in rheumatoid arthritis?

© 2023. The Author(s)..

A 69-year-old male patient with seropositive erosive rheumatoid arthritis (RA) presented to our clinic due to progressive dyspnea. High-resolution computed tomography (HRCT) and immunological bronchioalveolar lavage revealed ground-glass opacities and a lymphocytic alveolitis caused by interstitial lung disease (ILD) in RA. Considering previous forms of treatment, disease-modifying antirheumatic drug (DMARD) treatment was switched to tofacitinib. Tofacitinib treatment demonstrated a 33% reduction in ground-glass opacities by artificial intelligence-based quantification of pulmonary HRCT over the course of 6 months, which was associated with an improvement in dyspnea symptoms. In conclusion, tofacitinib represents an effective anti-inflammatory therapeutic option in the treatment of RA-ILD.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Zeitschrift fur Rheumatologie - (2023) vom: 17. Okt.

Sprache:

Deutsch

Weiterer Titel:

Ist JAK-Hemmung eine Option in der Behandlung der interstitiellen Lungenerkrankung bei einer rheumatoiden Arthritis?

Beteiligte Personen:

Hoffmann, Tobias [VerfasserIn]
Teichgräber, Ulf [VerfasserIn]
Lassen-Schmidt, Bianca [VerfasserIn]
Kroegel, Claus [VerfasserIn]
Krämer, Martin [VerfasserIn]
Förster, Martin [VerfasserIn]
Renz, Diane [VerfasserIn]
Oelzner, Peter [VerfasserIn]
Böttcher, Joachim [VerfasserIn]
Franz, Marcus [VerfasserIn]
Wolf, Gunter [VerfasserIn]
Güttler, Felix [VerfasserIn]
Pfeil, Alexander [VerfasserIn]

Links:

Volltext

Themen:

Artificial intelligence-based quantification of pulmonary high-resolution computed tomography
English Abstract
Interstitial lung disease
JAK inhibition
Journal Article
Quantitative lung imaging
Rheumatoid arthritis

Anmerkungen:

Date Revised 17.10.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s00393-023-01434-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363398570