Expert consensus on interstitial lung disease associated with systemic autoimmune diseases. Executive summary
- PMID: 40582403
- DOI: 10.1016/j.rceng.2025.502326
Expert consensus on interstitial lung disease associated with systemic autoimmune diseases. Executive summary
Abstract
Interstitial lung disease (ILD) is a frequent and potentially fatal manifestation of systemic autoimmune diseases (SAD). Early screening, diagnosis, and treatment with immunomodulators, and in some cases, antifibrotics, as well as appropriate follow-up, are essential to improving patients' quality of life and survival. The complexity of these diseases and the limited robust evidence to guide clinical decision-making lead to significant variability in management guidelines. In this article, a group of experts in SAD has developed recommendations for the screening, diagnosis, treatment, and follow-up of ILD, considering the latest evidence, their clinical experience, and the results of a survey conducted among specialists. The diseases included are systemic sclerosis, Sjögren's disease, idiopathic inflammatory myopathy, ANCA-associated vasculitis, sarcoidosis and systemic lupus erythematosus.
Keywords: Anti-Neutrophil cytoplasmic antibody-associated vasculitis; Consenso; Consensus; Enfermedades pulmonares intersticiales; Esclerosis sistémica; Inflammatory myopathies; Interstitial lung diseases; Miopatías inflamatorias; Sjögren's disease; Systemic sclerosis; Síndrome de sjögren; Vasculitis asociada a anticuerpos anti-citoplasma de neutrófilos.
Copyright © 2025 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.
Conflict of interest statement
Declaration of competing interest Andrés González-García has given lectures and formed part of advisory boards for Boehringer and Roche. Sergio Prieto González has given lectures for Boehringer and Roche. Luis Sáez Comet has participated in lectures sponsored by GSK, Roche, Astra, Actelion, Janssen, and on an advisory board for Boehringer Carmen Pilar Simeón has provided scientific advising, participated in medical meetings, and received research funding and compensation from Boehringer Ingelheim. Miriam Akasbi, M. Pilar Brito-Zerón, José Luis Callejas, Ivan Cusacovich, Fernando Jiménez Segovia, Miguel Martín Cascón, Roser Solans Laque, and José Salvador García Morillo declare that they have no conflicts of interest.
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