Interstitial lung disease in patients with systemic lupus erythematosus: a cohort study.

Autor: Şenkal N; Department of Internal Medicine, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey., Kıyan E; Department of Pulmonary Medicine, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey., Demir AA; Fulya Radiologic Imaging Center, İstanbul, Turkey., Yalçınkaya Y; Department of Internal Medicine, Division of Rheumatology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey., Gül A; Department of Internal Medicine, Division of Rheumatology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey., İnanç M; Department of Internal Medicine, Division of Rheumatology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey., Öçal ML; Department of Internal Medicine, Division of Rheumatology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey., Esen BA; Department of Internal Medicine, Division of Rheumatology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey.
Jazyk: angličtina
Zdroj: Turkish journal of medical sciences [Turk J Med Sci] 2022 Feb; Vol. 52 (1), pp. 76-82. Date of Electronic Publication: 2022 Feb 22.
DOI: 10.3906/sag-2109-16
Abstrakt: Background: Systemic lupus erythematosus (SLE) is an autoimmune disease with a variety of organ/system involvement. Respiratory system involvement is common in these patients and usually manifests itself by disorders of the lung parenchyma, pleura, pulmonary vasculature or diaphragm. In this study, we sought to determine the frequency of interstitial lung disease (ILD) in patients with SLE and associated risk factors.
Methods: Three hundred randomly chosen patients with SLE were included. Chest x-ray (CXR), lung spirometry and carbon monoxide diffusion test (DLCO) were performed. High-resolution thorax computed tomography (HRCT) was performed for a definite diagnosis of ILD. .
Results: Of 300 patients, 16% had ILD. At the start of the study, the prevalence obtained from the patients' records showed that 4% had ILD. The median age, mean duration of disease, and follow-up time were significantly higher and longer in patients with ILD compared to patients without (p < 0.05). Forced expiratory volume (FEV1), forced vital capacity (FVC), DLCO and total lung capacity (TLC) were significantly lower in patients with ILD (p < 0.001). Patients with ILD had a significantly higher frequency of arthritis, serositis, Raynaud's phenomenon, myositis, and anti-Scl70 positivity (p = 0.01, 0.001, 0.02, 0.004, and 0.001, respectively). A significantly higher number of patients had stopped using hydroxychloroquine (HCQ) in the ILD group (p = 0.04).
Databáze: MEDLINE
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