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Updated: Jul 12, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
The spectrum of scleroderma lung disease
Kristin B Highland1, Margaret C Garin, Kevin K Brown
1Division of Pulmonary Critical Care, Allergy, and Sleep Medicine, Medical University of South Carolina, Charleston, South Carolina 29425, USA. highlakb@musc.edu
Systemic sclerosis frequently causes death through pulmonary disease, affecting lungs via hypertension, interstitial disease, and cancer. This review details lung complications, treatments, and transplantation options.
Area of Science:
- Rheumatology
- Pulmonology
- Internal Medicine
Background:
- Pulmonary disease is the leading cause of mortality in patients with systemic sclerosis.
- Systemic sclerosis impacts the lungs through diverse pathologies.
Purpose of the Study:
- To comprehensively review the spectrum of pulmonary manifestations in systemic sclerosis.
- To outline current knowledge on etiology, risk factors, diagnosis, treatment, and prognosis for each lung condition.
- To discuss lung transplantation in this patient population.
Main Methods:
- Literature review of pulmonary manifestations in systemic sclerosis.
- Synthesis of current evidence on lung disease in systemic sclerosis patients.
Main Results:
- Systemic sclerosis encompasses pulmonary hypertension, interstitial lung disease, restrictive and obstructive disorders, pleural disease, lung cancer, and aspiration.
- Each manifestation presents unique etiological factors, risk profiles, diagnostic challenges, and therapeutic strategies.
Conclusions:
- Understanding the multifaceted pulmonary involvement is crucial for managing systemic sclerosis.
- Prompt diagnosis and tailored treatment are essential for improving outcomes and prognosis in patients with systemic sclerosis-related lung disease.
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