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Related Concept Videos

Pulmonary Hypertension: Classification and Pathogenesis01:30

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Overview of Systemic and Pulmonary Circulation01:15

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COPD: Pathogenesis and Clinical Features01:20

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Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
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Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
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Angiogenesis in the Ischemic Rat Lung
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Systemic vasculitis and the lung.

Rosaria Talarico1, Simone Barsotti, Elena Elefante

  • 1aRheumatology Unit, University of Pisa, Pisa bDepartment of Medical Biotechnologies, University of Siena, Siena, Italy.

Current Opinion in Rheumatology
|October 19, 2016
PubMed
Summary
This summary is machine-generated.

Pulmonary involvement in antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV) is common. Myeloperoxidase-ANCA-positive AAV, particularly microscopic polyangiitis, shows higher lung involvement rates compared to proteinase 3-ANCA-positive AAV.

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Area of Science:

  • Pulmonary Medicine
  • Rheumatology
  • Immunology

Background:

  • Lung involvement is a frequent manifestation of systemic vasculitis.
  • Antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV) encompasses conditions like microscopic polyangiitis (MPA).
  • Pulmonary complications significantly impact patient prognosis in vasculitis.

Purpose of the Study:

  • To critically analyze recent literature on lung involvement in AAV and non-AAV.
  • To provide an update on pathogenesis, clinical features, and novel treatments for pulmonary vasculitis.
  • To focus on studies published within the last year.

Main Methods:

  • Systematic MedLine search for relevant studies.
  • Analysis of recent literature on diagnosis, pathogenesis, and treatment.
  • Critical review of data on lung involvement in ANCA-associated and non-ANCA-associated vasculitis.

Main Results:

  • Lung involvement is more frequent in myeloperoxidase-ANCA-positive AAV, especially MPA, than in proteinase 3-ANCA-positive AAV.
  • Non-ANCA-associated vasculitis can present with concerning lung involvement, particularly when vascular disease is present.
  • Recent literature highlights advances in understanding and managing pulmonary manifestations of vasculitis.

Conclusions:

  • Pulmonary involvement is a key aspect of AAV and other systemic vasculitides.
  • Understanding specific ANCA subtypes (MPO-ANCA vs. PR3-ANCA) is crucial for assessing lung risk.
  • Ongoing research is vital for improving diagnosis and treatment of lung disease in vasculitis.