Osobennosti interstitsial'nogo porazheniya legkikh po dannym komp'yuternoy tomografii vysokogo razresheniya u bol'nykh revmatoidnym artritom v zavisimosti ot vospalitel'noy aktivnosti i dlitel'nosti zabolevaniya
- 作者: Bestaev D.V1, Bozh'eva L.A1
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隶属关系:
- 期: 编号 20 (2014)
- 页面: 75-78
- 栏目: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/287599
- ID: 287599
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The article presents the results of the evaluation of the data of high-resolution computed tomography (CT) of the lung in 113 patients with rheumatoid arthritis (RA) with interstitial lung disease (ILD) with various inflammatory activity and duration of the disease. It has been shown that ILD in RA is characterized by predominant involvement of lower basal lung segments in process. Increasing number of affected segments of the lung and the severity of structural changes in the interstitium is correlated with the duration of RA. Symptom of «frosted glass», CT-symptom in ILD, is associated with inflammatory activity of RA and damage of the lower basal segments, and CT symptom of «honeycomb lung» is associated with involvement of all parts of the lungs, and low to moderate inflammatory activity of the disease.
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参考
- Ревматология: Клинические рекомендации / Под ред. акад. РАМН Е.Л. Насонова. 2-е изд., испр. и доп. М., 2010. 752 с.
- Lee D.M., Weinblatt M.E. Rheumatoid arthritis. Lancet. 2001; 358(9285): 903-11.
- Jurik A.G., Davidsen D., Graudal H. Prevalence of pulmonary involvement in rheumatoid arthritis and its relationship to some characteristics of the patients. A radiological and clinical study. Scand. J. Rheumatol. 1982; 11: 217-24.
- Saag K.G., Kolluri S., Koehnke R.K., et al. Rheumatoid arthritis lung disease. Determinants of radiographic and physiologic abnormalities. Arthr. Rheum. 1996; 39: 1711-19.
- Lee H.K., Kim D.S., Yoo B., et al. Histopathologic pattern and clinical features of rheumatoid arthritis-associated interstitial lung disease. Chest. 2005; 127: 2019-27.
- Tanaka N., Kim J.S., Newell J.D., et al. Rheumatoid arthritis-related lungs diseases: CT findings. Radiology. 2004; 232(1): 81-91.
- Mohd Noor N., Mohd Shahrir M.S., Shahid M.S., et al. Clinical and high resolution computed tomography characteristics of patients with rheumatoid arthritis lung disease. !nt. J. Rheum. Dis. 2009; 12(2): 136-44.
- Kim E.J., Collard H.R., King T.E. Jr. Rheumatoid arthritis-associated interstitial lung diseases. The relevance of histopathologic and radiographic pattern. Chest. 2009; 136(5): 1397-405.
- Юдин А.Л., Афанасьева Н.И., Абович Ю.А., Георгиади С.Г. Компьютерная томография высокого разрешения в диагностике интерстициальных пневмоний. Медицинская визуализация. 2002; 4: 40-8.
- Mayberry J.P., Primack S.L., Muller N.L. Thoracic manifestations of systemic autoimmune diseases: radiographic and high-resolution CT findings. Radiographics. 2000; 20(6): 1623-35.
- Reynisdottir G., Nyren S., Harju A., et al. Lung changes detected by high resolution tomography are present in ACPA positive RA patients already at disease onset. Am. Coll. Rheumatol. 2011; 63: 2176.
- Mori S., Cho I., Koga Y. et al. Comparison of pulmonary abnormalities on high-resolution computed tomography in patients with early versus longstanding rheumatoid arthritis. J. Rheumatol. 2008; 35(8)1513-21.