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Published on: May 16, 2025
Lung disease in rheumatoid arthritis
Carlotta Nannini1, Jay H Ryu, Eric L Matteson
1Division of Rheumatology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Rheumatoid arthritis-associated lung disease significantly impacts patient health and survival. Understanding its complex pathophysiology and developing targeted therapies are crucial for improving outcomes.
Area of Science:
- Rheumatology
- Pulmonology
- Immunology
Background:
- Rheumatoid arthritis (RA) frequently involves lung complications, impacting patient morbidity and mortality.
- RA-associated lung disease is characterized by active T-cell, B-cell, and mast cell infiltrates, distinguishing it from other interstitial lung diseases.
Purpose of the Study:
- To comprehensively review the clinical, epidemiologic, pathophysiologic, and therapeutic aspects of lung disease in rheumatoid arthritis.
Main Methods:
- Literature review of clinical, epidemiological, pathophysiological, and therapeutic data on RA-associated lung disease.
Main Results:
- Lung disease in RA is diverse and significantly worsens patient prognosis.
- Current treatments, including biologics, have variable effects on lung health.
- Emerging therapies targeting T-cell and B-cell dysfunction show promise for mitigating lung damage.
Conclusions:
- RA-associated lung disease is a serious, heterogeneous condition affecting patient well-being and survival.
- Improved understanding of RA lung disease etiology and targeted therapies are essential for patient benefit.
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