The interplay between rheumatic diseases and pulmonary health

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

Patients with rheumatic diseases (RDs) are prone to a number of comorbidities, particularly those affecting the respiratory system due to inflammatory and autoimmune mechanisms. Rheumatoid arthritis (RA), systemic sclerosis (SSc), and inflammatory idiopathic myopathies (IIMs) often present with progressive interstitial lung disease (ILD). The prevalence of ILD varies among patients with RDs, with 11% in RA, 47% in SSc, and 41% in IIMs. Some diagnostic markers, including KL-6, cytokines TNF-α and IL-6, and autoantibodies (anti-CCP), play a crucial role in assessing and predicting the course of pulmonary involvement in RDs. Lung fibrosis is a progressive disorder in SSc and RA, limiting the effiency of therapeutic interventions. Re-evaluating treatment approaches with disease-modifying anti-rheumatic drugs (DMARDs) is crucial for understanding their impact on the risk of lung affections. Despite initial concerns surrounding methotrexate, recent evidence points to its benefits in RA-associated interstitial lung disease (RA-ILD). Recognizing the intricate relationship between autoimmune RDs and lung affections is crucial for formulating effective treatment strategies. Emphasis is placed on collaborative efforts of rheumatologists and pulmonologists for early diagnosis, comprehensive care, and optimal patient outcomes in RA-ILD.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Rheumatology international - (2024) vom: 20. März

Sprache:

Englisch

Beteiligte Personen:

Fedorchenko, Yuliya [VerfasserIn]
Zimba, Olena [VerfasserIn]
Yatsyshyn, Roman [VerfasserIn]
Doskaliuk, Bohdana [VerfasserIn]
Zaiats, Liubomyr [VerfasserIn]
Fedorchenko, Mykhailo [VerfasserIn]

Links:

Volltext

Themen:

Comorbidity
Journal Article
Lung diseases
Review
Rheumatic diseases
Rheumatoid arthritis

Anmerkungen:

Date Revised 21.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s00296-024-05565-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369989341