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Updated: Nov 12, 2025

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Treatment for systemic sclerosis-associated interstitial lung disease.
David Roofeh1, Alain Lescoat1,2,3, Dinesh Khanna1
1Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Current treatments for systemic sclerosis-interstitial lung disease (SSc-ILD) are reviewed, highlighting antifibrotic agents like nintedanib and tocilizumab for lung function preservation. Patient stratification guides optimal management strategies for this complex condition.
Area of Science:
- Pulmonology
- Rheumatology
- Pharmacology
Background:
- Systemic sclerosis-interstitial lung disease (SSc-ILD) is a significant cause of morbidity and mortality.
- Effective management strategies are crucial for improving patient outcomes.
Purpose of the Study:
- To review current treatments for SSc-ILD.
- To propose a conceptual framework for disease management.
- To provide case scenarios for clinical guidance.
Main Methods:
- Literature review of current SSc-ILD treatments.
- Analysis of treatment categories including cytotoxic therapies, biologics, antifibrotics, and transplantation.
- Evaluation of recent clinical trial data for nintedanib and tocilizumab.
Main Results:
- Nintedanib demonstrated efficacy in retarding lung function decline in SSc-ILD patients.
- Tocilizumab showed lung function preservation in early SSc with ILD and elevated acute-phase reactants.
- Treatment selection depends on SSc-ILD severity, progression, and patient comorbidities.
Conclusions:
- Stratifying SSc-ILD patients by key characteristics aids in treatment decisions.
- A structured approach to SSc-ILD management is proposed.
- Emerging therapies offer new options for lung function preservation.
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