250 results match your criteria: "Collagen-Vascular Disease Associated With Interstitial Lung Disease"

Purpose: Interstitial lung disease (ILD) damages the lungs and can be caused by environmental exposures and collagen-vascular diseases. The systemic immune-inflammation index (SII) is investigated to diagnose and manage ILDs in different etiological diseases. The study aims to examine the usefulness of SII in diagnosing specific ILDs like Sjogren's syndrome (SjS)-ILD, interstitial pneumonia with autoimmune features (IPAF), and idiopathic pulmonary fibrosis (IPF).

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Article Synopsis
  • Acute exacerbation (AE) of interstitial pneumonia (IP) has a poor prognosis due to severe lung damage combined with existing fibrosis.
  • A study compared clinical data from 66 patients with AE of idiopathic interstitial pneumonias (IIPs) and 19 patients with collagen vascular disease-associated interstitial pneumonia (CVD-IP), focusing on factors like age, health status (Charlson Comorbidity Index score), blood biomarkers, treatment, and mortality.
  • Findings revealed that the Charlson Comorbidity Index score and serum lactate dehydrogenase levels were significant predictors of 3-month mortality, indicating that these metrics may be more crucial indicators of patient outcomes than the specific type of interstitial pneumonia.
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Objective Interstitial lung disease (ILD) is the most critical manifestation in patients with rheumatoid arthritis (RA). In some cases, ILD may appear before the RA onset. Some patients with an initial diagnosis of idiopathic interstitial pneumonia (IIPs) develop RA; however, few studies have reported on its features, and the details remain unknown.

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Backgrounds: Recent studies have reported increased risks of adverse events from systemic corticosteroids even with only low-dose or short-term use. Some patients with asthma experience complications requiring systemic corticosteroids. However, few studies have examined issues associated with administration of systemic corticosteroids for reasons other than asthma among subjects with asthma.

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[Interstitial lung disease associated with connective tissue disease].

Pathologe

February 2021

Klinik für Rheumatologie, Klinische Immunologie und Nephrologie, Helios Dr. Horst Schmidt-Kliniken Wiesbaden, Wiesbaden, Deutschland.

Interstitial lung disease (ILD) is the most frequent organ manifestation in rheumatic autoimmune disease. Depending on the underlying autoimmune disease, differently pronounced affections of small airways, interstitial parenchyma, and vessels are found. The group of rheumatic autoimmune diseases mainly includes connective tissue diseases (CTDs), also known as collagen vascular diseases, such as rheumatoid arthritis (RA), systemic sclerosis, (SSc), systemic lupus erythematosus, primary Sjögren's syndrome, idiopathic inflammatory myositis (IIM), and interstitial pneumonia with autoimmune features (IPAF).

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Pulmonary complications in CTD are common and can involve the interstitium, airways, pleura and pulmonary vasculature. ILD can occur in all CTD (CTD-ILD), and may vary from limited, non-progressive lung involvement, to fulminant, life-threatening disease. Given the potential for major adverse outcomes in CTD-ILD, accurate diagnosis, assessment and careful consideration of therapeutic intervention are a priority.

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Background: Acute exacerbation (AE) is recognized as a life-threatening condition with acute respiratory worsening in idiopathic pulmonary fibrosis (IPF). AE also occurs in fibrotic interstitial lung disease (ILD) other than IPF, including other types of idiopathic interstitial pneumonias (IIPs), ILD associated with collagen vascular disease (CVD-ILD), and chronic hypersensitivity pneumonia (CHP). However, the clinical impact after AE in those patients is still unclear.

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Article Synopsis
  • Interstitial lung disease (ILD) encompasses various conditions with lung inflammation and/or fibrosis, particularly in patients with autoimmune-related illnesses like CVD-ILD and IPAF, who may benefit from immunosuppressive therapy.
  • A study involving 102 patients assessed how certain cytokines (CXCL9, CXCL10, CXCL11) differed in serum and bronchoalveolar lavage fluid (BALF) across various ILD types, revealing significant elevations in CVD-ILD and IPAF cases compared to idiopathic pulmonary fibrosis (IPF).
  • Results indicated that pre-treatment levels of these cytokines were correlated with treatment response and clinical measurements, highlighting their potential as biomarkers for monitoring immunosuppressive therapy in CVD-
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SARS-CoV-2 as a causative agent of idiopathic interstitial pneumonia and interstitial pneumonia associated with collagen vascular disorders.

Respir Investig

November 2020

Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara-cho, Okinawa, 903-0215, Japan. Electronic address:

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Background: Idiopathic pulmonary fibrosis (IPF) is a fatal lung disease associated with significant morbidity and mortality. The international clinical practice guidelines for the diagnosis of IPF have recently been revised.

Methods: In this single-center retrospective study conducted between June 2006 and March 2018, 27 patients with a newly classified indeterminate for usual interstitial pneumonia (UIP) pattern on high-resolution computed tomography (HRCT) who had undergone surgical lung biopsy were enrolled at the Japanese Red Cross Medical Center.

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We treated two patients with severe respiratory failure due to coronavirus disease 2019 (COVID-19). Case 1 was a 73-year-old woman, and Case 2 was a 65-year-old-man. Neither of them had a history of autoimmune disease.

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Background: Acute exacerbation (AE) of idiopathic pulmonary fibrosis (IPF) is associated with high mortality, but there is limited clinical data on AE of interstitial lung disease (ILD) in connective tissue disease-associated ILD (CTD ILD). The present study was conducted to provide prevalence and clinical features of AE, as well as various risk factors associated with mortality among AE CTD ILD patients.

Methods: Between May 2013 and April 2018, 15 patients who developed AE among 105 consecutive patients with CTD with chronic ILD were included.

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Background: Fatal acute exacerbation (AE) of interstitial pneumonia (IP) sometimes occurs after chemotherapy for lung cancer. We developed and evaluated a scoring system for assessing AE risk after chemotherapy in patients with lung cancer associated with IP.

Methods: A review of medical records identified 109 patients with primary lung cancer associated with IP who had received chemotherapy at our center during the period from June 2007 through September 2017.

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Article Synopsis
  • * A retrospective review of 26 CTD-ILD patients showed that the combined therapy significantly improved lung function, exercise capacity, and overall respiratory health over 12 months, with minimal adverse effects.
  • * The findings suggest that using this combination therapy is well tolerated and offers comprehensive benefits for patients with CTD-ILD, highlighting its potential as an effective treatment option.
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Background And Objective: The St George's Respiratory Questionnaire (SGRQ) is a self-administered questionnaire used to assess health-related quality of life (HRQoL) in various chronic respiratory diseases. Few studies have assessed the performance of the SGRQ in patients with connective tissue disease-associated interstitial lung disease (CTD-ILD). We aimed to examine the SGRQ's performance characteristics and generate data to support its reliability and validity in patients with CTD-ILD.

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Article Synopsis
  • - Pirfenidone is approved in the EU for mild to moderate idiopathic pulmonary fibrosis (IPF) but other progressive fibrotic lung diseases may benefit from antifibrotic therapy, highlighting the need for effective treatments beyond conventional anti-inflammatory options.
  • - The study protocol aims to include patients with various types of progressive fibrotic lung diseases who show disease progression despite current therapies, focusing on specific conditions like CVD-LF, fNSIP, cHP, and ALF.
  • - By targeting patients with significant disease progression, the study addresses a critical need for treatment solutions in interstitial lung disease (ILD), increasing the potential for meaningful evaluation of therapy effectiveness.
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