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Updated: Nov 23, 2025

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
[Pulmonary manifestations in adult rheumatic diseases]
1Klinik für Pneumologie und Infektiologie, Augusta-Kranken-Anstalt Bochum, Bochum, Deutschland.
Background:
Rheumatic diseases frequently present with pulmonary involvement. All anatomic structures of the lungs can be affected. Interstitial lung diseases are characterized by a system of patterns evident in high-resolution computed tomography (HR-CT) scanning of the lungs. The HR-CT pattern can differ between rheumatic diseases.
Objective:
Systematic description of all variants and patterns of pulmonary involvement in rheumatic diseases.
Material And Methods:
Narrative review based on the current literature on the topic from the perspective of rheumatology, pulmonary diseases and radiology.
Results:
Pulmonary involvement is frequent and prognostically relevant. The summary of pulmonary involvement reveals a high variability of affected anatomical structures as well as patterns of interstitial diseases for inflammatory rheumatic diseases. A synopsis of the main diagnostic findings is provided.
Conclusion:
Every rheumatic disease presented here can be associated with pulmonary involvement. Therefore, a systematic diagnostic evaluation is mandatory at the first diagnosis as well as during follow-up. Apart from clinical findings and lung function HR-CT of the lungs is decisive for the diagnostics.
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