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. 2023 Nov;78(11):641-648.

[Lung disease associated with rheumatoid arthritis]

[Article in French]
Anna Denis  1 , Anne-Noëlle Frix  1 , Delphine Nguyen Dang  1 , Olivier Malaise  2 , Céline Defourny  3 , Pierre Lovinfosse  4 , Jean-Louis Corhay  1 , Fanny Gester  1 , Renaud Louis  1 , Clio Ribbens  2 , Julien Guiot  1
Affiliations
  • PMID: 37955294
Free article

[Lung disease associated with rheumatoid arthritis]

[Article in French]
Anna Denis et al. Rev Med Liege. 2023 Nov.
Free article

Abstract
in English, French

Rheumatoid arthritis is a chronic inflammatory systemic disease. Pulmonary manifestations are the most common extra-articular involvements and can impact all components of the respiratory system: parenchyma, pleura, vessels and airways, all complications that are briefly described in this article. Interstitial lung disease is the most common of these and is associated with significant morbidity and mortality. Its detection and monitoring are based on spirometry and thoracic imaging. Specific treatments are initiated in order to reduce the risk of disease flare up but may themselves in case of toxicity be associated with respiratory manifestations, either directly or by promoting infectious complications.

La polyarthrite rhumatoïde est une pathologie systémique inflammatoire chronique. Les manifestations pulmonaires représentent l’atteinte extra-articulaire la plus fréquente et peuvent affecter tous les composants du système respiratoire : le parenchyme, la plèvre, les vaisseaux et les voies aériennes, complications décrites brièvement dans cet article. La pneumopathie interstitielle diffuse en est la plus commune et associée à une morbi-mortalité importante. Son dépistage et son suivi reposent sur les épreuves fonctionnelles et l’imagerie thoracique. Des traitements spécifiques sont initiés afin de limiter au mieux l’évolution pulmonaire, mais peuvent eux-mêmes être associés à des manifestations respiratoires, soit directement, soit en favorisant des complications infectieuses.

Keywords: Interstitial lung disease; Pulmonary function test; Rheumatoid arthritis.

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