Velazquez Guevara Bruno Alexander, Abud Mendoza Carlos, Avilés Ramírez Lesly Rocío de Jesús, Santillán Guerrero Eva
Hospital Central Dr. Ignacio Morones Prieto, Universidad Autónoma de San Luís Potosí, San Luis Potosí, Mexico.
Hospital Central Dr. Ignacio Morones Prieto, Universidad Autónoma de San Luís Potosí, San Luis Potosí, Mexico.
Reumatol Clin (Engl Ed). 2023 Oct;19(8):455-462. doi: 10.1016/j.reumae.2022.12.007. Epub 2023 May 8.
Patients with diffuse connective tissue diseases frequently develop interstitial lung disease, which carries a worse prognosis and shortens survival. High-resolution computed tomography is the first-choice test, and is competitive with histopathology, however, the cost and radiation may limit its use, particularly for screening. Lung ultrasound is a rapid, accessible, reproducible, and inexpensive study that is useful for diagnosis of interstitial lung disease. Furthermore, extensive training is not required to identify the alterations associated with these lung diseases. B lines and pleural irregularities compose the ultrasonographic interstitial syndrome, although, it must be kept in mind that it is not specific, and it is necessary to rule out haemodynamic, cardiovascular, and infectious abnormalities. This review highlights the elevated prevalence of this lung condition in the main rheumatological diseases, with emphasis on the usefulness of pulmonary ultrasound.
弥漫性结缔组织病患者常并发间质性肺疾病，其预后较差且会缩短生存期。高分辨率计算机断层扫描是首选检查方法，与组织病理学检查效果相当，然而，其成本和辐射可能会限制其应用，尤其是在筛查方面。肺部超声检查是一种快速、便捷、可重复且廉价的检查方法，对间质性肺疾病的诊断很有用。此外，识别与这些肺部疾病相关的改变无需广泛培训。B线和胸膜不规则构成了超声间质性综合征，不过，必须记住这并非特异性表现，有必要排除血流动力学、心血管和感染性异常。本综述强调了这种肺部疾病在主要风湿性疾病中的高患病率，并着重介绍了肺部超声检查的实用性。
