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Journals / Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2009 / Cilt: 49 - Sayı: 3

Evaluation of pulmonary involvement in rheumatoid arthritis with pa chest radiography, pulmonary function tests and high resolution computed tomography

Romatoid artritte akciğer tutulumunun pa akciğer grafisi, solunum fonksiyon testleri ve yüksek rezolüsyonlu bilgisayarlı tomografi ile değerlendirilmesi

Rahşan GÖÇMEN
Hayri ABANONU
Gül Babacan ABANONU
Pages
187–194
Publication Date
2022-10-17
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

As a result, HRCT have higher sensitivity for assessing pulmonary involvement in RA from both PA chest radiography and PFT.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In this study, the presence of pulmonary involvement in patients with rheumatoid arthritis (RA) was investigated.
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Key Findings & Data:Forty adults patients with RA (37 women, 3 men; mean age 52.6±8.62) were included in the study.
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Conclusion & Impact:As a result, HRCT have higher sensitivity for assessing pulmonary involvement in RA from both PA chest radiography and PFT.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In this study, the presence of pulmonary involvement in patients with rheumatoid arthritis (RA) was investigated. Forty adults patients with RA (37 women, 3 men; mean age 52.6±8.62) were included in the study. Patients age, gender, duration of the disease, smoking habits, treatment protocol, previous history of lung disease were recorded. PA chest radiography, pulmonary function tests (PFT), high resolution computed tomography (HRCT) were performed. PA chest radiography, PFT and HRCT findings showed 19.4%, 33.3%, 50% abnormalities, respectively. Interstitial lung disease was the most common finding on HRCT (35%). There was no statistically significant correlation between HRCT abnormality and age, gender, duration of the disease, smoking status, treatment protocol and previous history of lung disease. There was statistically significant correlation between HRCT abnormality and low DLCO/VA values. As a result, HRCT have higher sensitivity for assessing pulmonary involvement in RA from both PA chest radiography and PFT.

Özet

Bu çalışmada, romatoid artritli hastalarda akciğer tutulumunun varlığı araştırılmıştır. Çalışmaya romatoid artrit (RA) tanısı bulunan 40 erişkin hasta (37 kadın, 3 erkek; yaş ortaması 52.6±8.62) dahil edildi. Hastaların yaş, cinsiyet, hastalık süresi, sigara kullanma alışkanlığı, tedavi protokolü, geçirilmiş akciğer hastalığı öykü- sü bilgileri kaydedildi. PA akciğer grafisi, solunum fonksiyon testleri (SFT), yüksek rezolüsyonlu bilgisayarlı tomografi (YRBT) tetkikleri yapıldı. PA akciğer grafisi, YRBT, SFT sırasıyla %19.4, %33.3, %50 oranında anormallik gösterdi. YRBT ile en sık konulan tanı interstisyel akciğer hastalığıydı (%35). YRBT anor- malliği ile yaş, cinsiyet, hastalık süresi, sigara kullanma alışkanlığı, tedavi protokolü, geçirilmiş akciğer hastalığı öyküsü arasında anlamlı ilişki saptanmadı. Anormal YRBT bulguları ile düşük DLCO/VA değerleri arasında anlamlı ilişki saptandı. Sonuç olarak RA’de akciğer tutulumunu değerlendirmede YRBT, hem PA akciğer grafisinden, hem de SFT’den üstün bulundu.

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Cite This Article

GÖÇMEN, R., ABANONU, H., ABANONU, G. B. (2022). Evaluation of pulmonary involvement in rheumatoid arthritis with pa chest radiography, pulmonary function tests and high resolution computed tomography. Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 49 - Sayı: 3, 187–194. https://ajindex.com/articles/535494

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References (16)

  1. Firestein GS. Etiology and pathogenesis of rheumatoid arthritis. In: Ruddy S, Harris ED, Sledge CB, (eds). Kelley’s Textbook of Rheumatology. Sixth ed, Philadelphia, WB Saunders 2001; 921-966
  2. Albani S, Carson DA. Etiology and pathogenesis of rheumatoid arthritis. In: Kopman WJ (ed). Arthritis and Allied Conditions. Thirteenth edition, Pennsylvania, Williams and Wilkins 1997; 979-992
  3. Patterson D, William E, Harwille M, et al. Rheumatoid lung disease. Annals of internal medicine. 1995; 62:685-697
  4. Turesson C, O’Fallon WM, Crowson CS, Gabriel SE, Matteson EL. Occurrence of extraarticular disease manifastations is associated with excess mortality in a community based cohort of patients with rheumatoid arthritis. J Rheumatol 2002;29(1):62-67
  5. Suzuki A, Ohosone Y, Obana M, Mita S, Matsuoka Y, Irimajiri S, et al. Cause of death in 81 autopsied patients with RA. J Rheumatol 1994;21(1):33-6
  6. Turesson C, Jacobsson L, Bergstrom U. Extra-articular rheumatoid arthritis: prevalence and mortality. Rheumatology (Oxford) 1999; 38:668–674
  7. Wolfe F, Mitchell DM, Sibley JT et al. The mortality of rheumatoid arthritis. Arthritis and Rheumatism 1994; 37(4): 481–494
  8. Geddes DM, Webley M, et al. Airways obstruction in rheumatoid arthritis. Annals of Rheumatic Disease. 1979; 38:222-225
  9. Nannihi C, Ryu JH, Matteson EL. Lung disease in rheumatoid arthritis. Curr Opin Rheumatol 2008; 20:340–346
  10. Kelly CA.Rheumatoid arthritis: Classical lung disease. In: Kelly CA, ed.Lung disease in rheumatic disorders. London: Bailliere Tindal, 1993:1-17
  11. Hakala M. Poor prognosis in patients with rheumatoid athritis hospitalized for interstitial lung fibrosis. Chest 1988; 93(1): 114–118
  12. Hubbard R & Venn A. The impact of oexisting connective tissue disease on survival in patients with fibrosing alveolitis. Rheumato- logy (Oxford) 2002; 41(6): 676–679
  13. Arnett FC, Edworthy SM, Bloch DA, et al:The American Rheumatism Association 1987 revsed criteria fort he classification of rheumatoid arthritis. Arthritis Rheum 1988;1:315-324
  14. Wagner J, Clausen JL, Coates A, et al. Standardisation of the measurement of lung volumes. Eur Respir J 2005; 26:511-22
  15. Wolfe AM, Kellgren JH, Masi AT: The epidemiology of rheumatoid arthritis: a review. II. Incidence and diagnostic criteria. Bull Rheum Dis 1968, 19:524-529
  16. Fewings HE, McGowan I, Whitehaus G, et al. High definition computed tomography in rheumatoid arthritis associated pulmonary disease. British Journa