Pulmonary abnormalities on high-resolution computed tomography in patients with long standing rheumatoid arthritis

Background. Rheumatoid arthritis (RA) is a systemic inflammatory disease, associated with a number of extra-articular organ manifestations. Pulmonary involvement is a frequent and severe extraarticular manifestations of rheumatoid arthritis. RA can affect lung parenchyma, airways and pleura. Object...

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Main Authors: Iulia Andronache, Cristina Suta, Sabina Ciocodei, Ionut Bulbuc, Claudia Mihailov, Oana Arghir, Maria Suta
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2021-03-01
Series:Romanian Journal of Rheumatology
Subjects:
Online Access:https://rjr.com.ro/articles/2021.1/RJR_2021_1_Art-03.pdf
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author Iulia Andronache
Cristina Suta
Sabina Ciocodei
Ionut Bulbuc
Claudia Mihailov
Oana Arghir
Maria Suta
author_facet Iulia Andronache
Cristina Suta
Sabina Ciocodei
Ionut Bulbuc
Claudia Mihailov
Oana Arghir
Maria Suta
author_sort Iulia Andronache
collection DOAJ
description Background. Rheumatoid arthritis (RA) is a systemic inflammatory disease, associated with a number of extra-articular organ manifestations. Pulmonary involvement is a frequent and severe extraarticular manifestations of rheumatoid arthritis. RA can affect lung parenchyma, airways and pleura. Objectives. To identify RA-related lung disease on chest computed tomography (CT). Material and methods. We performed high-resolution computed tomography (HRCT) on a total of 92 patients with longstanding RA. Results. The subjects were predominantely female (79.3%), the age at entry was 63.77 ±11.56 years, and 42.9% had a history of smoking. Disease duration was 15.00±11.55 years. Pulmonary CT abnormalities were found in 71 of the 92 patients (77.2%). The most common HRCT anomalies were: linear attenuation (reticulation) (52.11%), bronchiectasis andbronchial wall thickening (45%), nodular attenuation (39.43%) and pleural involvement (pleural effusion or thickening) (39.43%). Conclusions. We conclude that RA-related lung disease was commonly detected on chest CT imaging in longstanding RA patients
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spelling doaj.art-8900c67a217540e6977b0ba81757d0572022-12-21T18:29:02ZengAmaltea Medical Publishing HouseRomanian Journal of Rheumatology1843-07912069-60862021-03-01301152010.37897/RJR.2021.1.3Pulmonary abnormalities on high-resolution computed tomography in patients with long standing rheumatoid arthritisIulia Andronache0Cristina Suta1Sabina Ciocodei2Ionut Bulbuc3Claudia Mihailov4Oana Arghir5Maria Suta6Doctoral School of Medicine, “Ovidius” University, Constanta, Romania; Rheumatology Department, Internal Medicine Clinic, “Dr. Alexandru Gafencu“ Emergency Military Hospital, Constanta, Romania3rd Department, Ist Clinical Medical Disciplines, Faculty of Medicine, “Ovidius” University, Constanta, Romania; Rheumatology Department, 2nd Internal Medicine Clinic, “Sf. Apostol Andrei” Emergency Clinical County Hospital, Constanta, Romania3rd Department, Ist Clinical Medical Disciplines, Faculty of Medicine, “Ovidius” University, Constanta, Romania; Rheumatology Department, 2nd Internal Medicine Clinic, “Sf. Apostol Andrei” Emergency Clinical County Hospital, Constanta, RomaniaMedimar Imagistic Services, Constanta, Romania; 6 1st Department, Preclinical Disciplines, Faculty of Medicine, “Ovidius” University, Constanta, Romania3rd Department, Ist Clinical Medical Disciplines, Faculty of Medicine, “Ovidius” University, Constanta, Romania; Rheumatology Department, 2nd Internal Medicine Clinic, CF Clinical Hospital Constanta, Romania 4th Department, IInd Clinical Medical Disciplines, Faculty of Medicine, “Ovidius” University, Constanta, Romania; Clinical Pneumophtisiology Hospital, Constanta, RomaniaDoctoral School of Medicine, “Ovidius” University, Constanta, Romania; 3rd Department, Ist Clinical Medical Disciplines, Faculty of Medicine, “Ovidius” University, Constanta, RomaniaBackground. Rheumatoid arthritis (RA) is a systemic inflammatory disease, associated with a number of extra-articular organ manifestations. Pulmonary involvement is a frequent and severe extraarticular manifestations of rheumatoid arthritis. RA can affect lung parenchyma, airways and pleura. Objectives. To identify RA-related lung disease on chest computed tomography (CT). Material and methods. We performed high-resolution computed tomography (HRCT) on a total of 92 patients with longstanding RA. Results. The subjects were predominantely female (79.3%), the age at entry was 63.77 ±11.56 years, and 42.9% had a history of smoking. Disease duration was 15.00±11.55 years. Pulmonary CT abnormalities were found in 71 of the 92 patients (77.2%). The most common HRCT anomalies were: linear attenuation (reticulation) (52.11%), bronchiectasis andbronchial wall thickening (45%), nodular attenuation (39.43%) and pleural involvement (pleural effusion or thickening) (39.43%). Conclusions. We conclude that RA-related lung disease was commonly detected on chest CT imaging in longstanding RA patientshttps://rjr.com.ro/articles/2021.1/RJR_2021_1_Art-03.pdfrheumatoid arthritisinterstitial lung diseaseimaging
spellingShingle Iulia Andronache
Cristina Suta
Sabina Ciocodei
Ionut Bulbuc
Claudia Mihailov
Oana Arghir
Maria Suta
Pulmonary abnormalities on high-resolution computed tomography in patients with long standing rheumatoid arthritis
Romanian Journal of Rheumatology
rheumatoid arthritis
interstitial lung disease
imaging
title Pulmonary abnormalities on high-resolution computed tomography in patients with long standing rheumatoid arthritis
title_full Pulmonary abnormalities on high-resolution computed tomography in patients with long standing rheumatoid arthritis
title_fullStr Pulmonary abnormalities on high-resolution computed tomography in patients with long standing rheumatoid arthritis
title_full_unstemmed Pulmonary abnormalities on high-resolution computed tomography in patients with long standing rheumatoid arthritis
title_short Pulmonary abnormalities on high-resolution computed tomography in patients with long standing rheumatoid arthritis
title_sort pulmonary abnormalities on high resolution computed tomography in patients with long standing rheumatoid arthritis
topic rheumatoid arthritis
interstitial lung disease
imaging
url https://rjr.com.ro/articles/2021.1/RJR_2021_1_Art-03.pdf
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