PULMONARY INVOLVEMENT IN RHEUMATOID ARTHRITIS

Rheumatoid arthritis (RA) is an autoimmune disease with erosive and destructive polyarthritis and systemic manifestations. Pulmonary involvement (PI) is common in RA. With high-resolution computed tomography, the detection rate of PI in RA is as high as 50%. PI is a direct cause of death in 10–20% o...

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Main Authors: D. V. Bestaev, D. E. Karateev, E. L. Nasonov
Format: Article
Language:Russian
Published: IMA PRESS LLC 2014-09-01
Series:Научно-практическая ревматология
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Online Access:https://rsp.mediar-press.net/rsp/article/view/1969
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author D. V. Bestaev
D. E. Karateev
E. L. Nasonov
author_facet D. V. Bestaev
D. E. Karateev
E. L. Nasonov
author_sort D. V. Bestaev
collection DOAJ
description Rheumatoid arthritis (RA) is an autoimmune disease with erosive and destructive polyarthritis and systemic manifestations. Pulmonary involvement (PI) is common in RA. With high-resolution computed tomography, the detection rate of PI in RA is as high as 50%. PI is a direct cause of death in 10–20% of patients with RA. Autoimmune mechanisms play a leading part in the development of PI in RA. Under the hypothesis advanced by M. Selman et al., that impaired alveolocyte regeneration processes after injury rather inflammation underlie the pathogenesis of pulmonary fibrosis. The pathological process is triggered by damaged alveolocytes and characterized by the migration and proliferation of fibroblasts and myofibroblasts, the suppressed apoptosis of the latter, and the enhanced activity of pneumofibrosis-stimulating cytokines. This gives rise to remodeling of the extracellular matrix, including destruction of the basement membrane, angiogenesis, and fibrosis. The paper considers the types of lung injury in RA and main methods for diagnosis and therapy.
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spelling doaj-art-84a2af48c94f42aa9f9f8ed715c2fea72025-08-04T17:03:55ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922014-09-0152445145710.14412/1995-4484-2014-451-4571901PULMONARY INVOLVEMENT IN RHEUMATOID ARTHRITISD. V. Bestaev0D. E. Karateev1E. L. Nasonov2V.A. Nasonova Research Institute of Rheumatology, MoscowV.A. Nasonova Research Institute of Rheumatology, MoscowV.A. Nasonova Research Institute of Rheumatology, MoscowRheumatoid arthritis (RA) is an autoimmune disease with erosive and destructive polyarthritis and systemic manifestations. Pulmonary involvement (PI) is common in RA. With high-resolution computed tomography, the detection rate of PI in RA is as high as 50%. PI is a direct cause of death in 10–20% of patients with RA. Autoimmune mechanisms play a leading part in the development of PI in RA. Under the hypothesis advanced by M. Selman et al., that impaired alveolocyte regeneration processes after injury rather inflammation underlie the pathogenesis of pulmonary fibrosis. The pathological process is triggered by damaged alveolocytes and characterized by the migration and proliferation of fibroblasts and myofibroblasts, the suppressed apoptosis of the latter, and the enhanced activity of pneumofibrosis-stimulating cytokines. This gives rise to remodeling of the extracellular matrix, including destruction of the basement membrane, angiogenesis, and fibrosis. The paper considers the types of lung injury in RA and main methods for diagnosis and therapy.https://rsp.mediar-press.net/rsp/article/view/1969rheumatoid arthritislung injury
spellingShingle D. V. Bestaev
D. E. Karateev
E. L. Nasonov
PULMONARY INVOLVEMENT IN RHEUMATOID ARTHRITIS
Научно-практическая ревматология
rheumatoid arthritis
lung injury
title PULMONARY INVOLVEMENT IN RHEUMATOID ARTHRITIS
title_full PULMONARY INVOLVEMENT IN RHEUMATOID ARTHRITIS
title_fullStr PULMONARY INVOLVEMENT IN RHEUMATOID ARTHRITIS
title_full_unstemmed PULMONARY INVOLVEMENT IN RHEUMATOID ARTHRITIS
title_short PULMONARY INVOLVEMENT IN RHEUMATOID ARTHRITIS
title_sort pulmonary involvement in rheumatoid arthritis
topic rheumatoid arthritis
lung injury
url https://rsp.mediar-press.net/rsp/article/view/1969
work_keys_str_mv AT dvbestaev pulmonaryinvolvementinrheumatoidarthritis
AT dekarateev pulmonaryinvolvementinrheumatoidarthritis
AT elnasonov pulmonaryinvolvementinrheumatoidarthritis