An overview of screening, treatment, and next steps in research in rheumatoid arthritis interstitial lung disease

Scott M. Matson , Joyce S. Lee
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Abstract

Rheumatoid arthritis associated interstitial lung disease (RA-ILD) has significant clinical impact on patients due to increased morbidity and mortality. Understanding the progression of ILD in patients with RA from when asymptomatic to clinical progression and the clinical, genetic, and novel markers associated with disease progression is an important step in altering the natural history of ILD in patients with RA. We review the natural history and epidemiology of RA-ILD, with a focus on Latin-American epidemiology in RA-ILD. Additionally, we discuss unique features of RA-ILD compared to other forms of ILD, early disease detection, and current concepts in treatment.

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类风湿性关节炎间质性肺病的筛查、治疗和下一步研究综述
类风湿性关节炎相关性间质性肺病(RA-ILD)会增加发病率和死亡率,对患者的临床影响很大。了解类风湿关节炎患者间质性肺病从无症状到临床进展的过程,以及与疾病进展相关的临床、遗传和新型标记物,是改变类风湿关节炎患者间质性肺病自然史的重要一步。我们回顾了 RA-ILD 的自然史和流行病学,重点是拉丁美洲 RA-ILD 的流行病学。此外,我们还讨论了 RA-ILD 与其他形式的 ILD 相比的独特特征、早期疾病检测以及当前的治疗理念。
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