De Clercq Alexander, Jans Lennart, Gosselin Robert, Delrue Louke, Vereecke Elke, Parkar Anagha P, Schiettecatte Eva, Lecluyse Clarisse, Smeets Peter, Herregods Nele, Morbée Lieve
Ghent University Hospital, Corneel Heymanslaan 10, Ghent 9000, BelgiumHaraldsplass Deaconess Hospital, Bergen, Norway.
Ghent University Hospital, Ghent, BelgiumHaraldsplass Deaconess Hospital, Bergen, Norway.
Ther Adv Musculoskelet Dis. 2024 Nov 28;16:1759720X241293943. doi: 10.1177/1759720X241293943. eCollection 2024.
With varying prevalence and manifestations depending on the underlying disease, thoracic involvement is one of the major factors determining morbidity and mortality in patients with rheumatic diseases (RDs). The most frequent pulmonary complication is interstitial lung disease (ILD), but other thoracic manifestations can also be present. Often, the only way to depict these extra-articular manifestations of disease is through imaging. Making an early diagnosis and thus aiding in the appropriate management requires radiologists to possess a comprehensive understanding of the typical imaging findings and the accompanying clinical context. In this review, the common features of thoracic involvement in RD are systematically described, with illustrations and explanatory drawings. ILD patterns, rheumatoid nodules, bronchial involvement, esophageal involvement, and pleural and pericardial disease are among the features discussed.
根据潜在疾病的不同，其患病率和表现各异，胸部受累是决定风湿性疾病（RD）患者发病率和死亡率的主要因素之一。最常见的肺部并发症是间质性肺疾病（ILD），但也可能存在其他胸部表现。通常，描绘这些疾病关节外表现的唯一方法是通过影像学检查。要做出早期诊断并因此有助于进行适当的管理，放射科医生需要全面了解典型的影像学表现及相关的临床背景。在本综述中，将系统描述RD胸部受累的常见特征，并配有插图和说明图。所讨论的特征包括ILD模式、类风湿结节、支气管受累、食管受累以及胸膜和心包疾病。
