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[类风湿关节炎的肺部表现,SARS-CoV-2大流行期间的综述]

[Pulmonary manifestations of rheumatoid arthritis, a review in SARS-CoV-2 pandemia].

作者信息

Orozco B Juan David, Imbachí S Alex Jhonier, Ospina Ana Isabel

机构信息

Departamento de Medicina Interna, Facultad de Medicina, Universidad del Cauca, Hospital Universitario San José, Popayán, Colombia.

Servicio de Reumatología, Departamento de Medicina Interna, Facultad de Medicina, Universidad del Cauca, Hospital Universitario San José, Popayán, Colombia.

出版信息

Rev Colomb Reumatol. 2022 Jun;29:S56-S65. doi: 10.1016/j.rcreu.2020.12.005. Epub 2021 Mar 5.


DOI:10.1016/j.rcreu.2020.12.005
PMID:40477429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7934669/
Abstract

Rheumatoid arthritis (RA) is one of the most frequent chronic autoimmune pathologies. It's prevalence varies from 0.5 to 1%, with a primary involvement at the joint, generating disability due to deformities secondary to persistent inflammation. Considering the high impact on the quality of life of those who suffer it, added to the high cost of therapeutic interventions, it becomes imperative for health personnel to join forces to promote early diagnosis and recognize potential complications, in order to impact positively on clinical outcomes. Around 50% of patients with RA may have extra-articular involvement, the lung being one of the most affected organs. In times of SARS-CoV-2 pandemic, it's necessary to remember the types of lung involvement in patients with RA and take into account the susceptibility of these patients to infectious conditions that can generate great morbidity and mortality.

摘要

类风湿性关节炎(RA)是最常见的慢性自身免疫性疾病之一。其患病率在0.5%至1%之间,主要累及关节,由于持续性炎症继发的畸形而导致残疾。考虑到该病对患者生活质量的严重影响,再加上治疗干预成本高昂,卫生人员必须齐心协力促进早期诊断并识别潜在并发症,以便对临床结果产生积极影响。约50%的类风湿性关节炎患者可能有关节外受累情况,肺部是受影响最严重的器官之一。在新冠病毒大流行时期,有必要牢记类风湿性关节炎患者肺部受累的类型,并考虑这些患者对可能导致高发病率和死亡率的感染性疾病的易感性。

相似文献

[1]
[Pulmonary manifestations of rheumatoid arthritis, a review in SARS-CoV-2 pandemia].

Rev Colomb Reumatol. 2022-6

[2]
Interstitial Lung Disease in Rheumatoid Arthritis: A Review.

Cureus. 2024-2-5

[3]
A Case Series of Rheumatoid Arthritis Flare Including Extra-articular Manifestations Following SARS-CoV-2 mRNA Vaccination: A Comprehensive Cytokine Assay.

Cureus. 2024-4-22

[4]
Extra-articular Manifestations and Comorbidity in Rheumatoid Arthritis: Potential Impact of Pre-Rheumatoid Arthritis Prevention.

Clin Ther. 2019-6-10

[5]
Extra-articular Manifestations in Rheumatoid Arthritis.

Maedica (Bucur). 2010-12

[6]
The clinical features of rheumatoid arthritis.

Eur J Radiol. 1998-5

[7]
Assessment of interstitial lung disease among black rheumatoid arthritis patients.

Clin Rheumatol. 2019-8-30

[8]
Impact of SARS-CoV-2 mRNA vaccine on arthritis condition in rheumatoid arthritis.

Front Immunol. 2023

[9]
A Study of Pulmonary Function Tests in Patients with Rheumatoid Arthritis and its Association with Disease Activity.

J Assoc Physicians India. 2022-4

[10]
Tomographic pleuropulmonary manifestations in rheumatoid arthritis: a pictorial essay.

J Bras Pneumol. 2023

本文引用的文献

[1]
Autoimmunity as the comet tail of COVID-19 pandemic.

World J Clin Cases. 2020-9-6

[2]
Managing rheumatoid arthritis during COVID-19.

Clin Rheumatol. 2020-9-6

[3]
COVID-19 Patients with Pulmonary Fibrotic Tissue: Clinical Pharmacological Rational of Antifibrotic Therapy.

SN Compr Clin Med. 2020

[4]
Rheumatoid arthritis-associated interstitial lung disease: an overview of epidemiology, pathogenesis and management.

Clin Rheumatol. 2021-4

[5]
Methotrexate and risk of interstitial lung disease and respiratory failure in rheumatoid arthritis: a nationwide population-based study.

Rheumatology (Oxford). 2021-1-5

[6]
American College of Rheumatology Guidance for the Management of Rheumatic Disease in Adult Patients During the COVID-19 Pandemic: Version 2.

Arthritis Rheumatol. 2020-7-30

[7]
Methotrexate and rheumatoid arthritis associated interstitial lung disease.

Eur Respir J. 2021-2-11

[8]
Characteristics associated with hospitalisation for COVID-19 in people with rheumatic disease: data from the COVID-19 Global Rheumatology Alliance physician-reported registry.

Ann Rheum Dis. 2020-5-29

[9]
Clinical features of rheumatic patients infected with COVID-19 in Wuhan, China.

Ann Rheum Dis. 2020-5-22

[10]
Baseline Characteristics and Progression of a Spectrum of Interstitial Lung Abnormalities and Disease in Rheumatoid Arthritis.

Chest. 2020-10

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