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结缔组织病相关间质性肺炎:对风湿病学家和肺科医生而言的一项挑战。

Connective tissue disease associated interstitial pneumonia: a challenge for both rheumatologists and pulmonologists.

作者信息

Geerts Sarah, Wuyts Wim, Langhe Ellen De, Lenaerts Jan, Yserbyt Jonas

机构信息

Department of General Practice, Catholic University Leuven, Leuven, Belgium.

Department of Pneumology, University Hospitals Leuven, Leuven, Belgium.

出版信息

Sarcoidosis Vasc Diffuse Lung Dis. 2017;34(4):326-335. doi: 10.36141/svdld.v34i4.5894. Epub 2017 Apr 28.

Abstract

Interstitial lung disease (ILD) can be either idiopathic, the result of exposure or may be associated with extrapulmonary diseases. Among the latter, connective tissue diseases (CTDs) make up the largest part. The identification, follow-up and treatment of CTD-associated ILD (CTD-ILD) are a challenge for every physician as ILD can occur before, during and after the diagnosis of CTD. Early detection of pulmonary involvement is an essential task for the treating rheumatologist and recognition of the underlying CTD can pose a challenge for the treating pulmonologist. Multidisciplinary engagement towards the patient is therefore indispensable for optimal clinical care. .

摘要

间质性肺疾病(ILD)可以是特发性的、由接触所致,或者可能与肺外疾病相关。在后者中,结缔组织病(CTD)占了最大部分。CTD相关的ILD(CTD-ILD)的识别、随访及治疗对每位医生而言都是一项挑战,因为ILD可在CTD诊断之前、期间及之后发生。对于治疗风湿科医生来说,早期发现肺部受累是一项重要任务,而识别潜在的CTD对治疗肺科医生可能构成挑战。因此,多学科协作对患者进行治疗对于实现最佳临床护理必不可少。

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