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COPD and rheumatoid arthritis: shared inflammatory pathways and clinical implications
Mohamed Abdulkadir1, Catherine Greene2
1Connolly Hospital Blanchardstown, Dublin, Ireland.
Introduction:
Rheumatoid Arthritis (RA) and Chronic Obstructive Pulmonary Disease (COPD) are chronic, progressive inflammatory conditions that may coexist, contributing to greater morbidity and complexity in clinical management. The overlap between these two conditions remains under-recognized despite growing evidence of shared pathogenic mechanisms and risk factors.
Areas Covered:
This review explores the emerging evidence linking RA and COPD, focusing on shared inflammatory pathways, genetic susceptibility, and environmental influences such as smoking and air pollution. A comprehensive literature search was conducted using PubMed and Scopus databases with keywords including 'rheumatoid arthritis,' 'COPD,' 'pulmonary involvement,' and 'inflammatory overlap.' Key findings highlight diagnostic challenges stemming from symptom overlap, the underdiagnosis of COPD in RA patients, and the clinical impact of dual disease burden. The review also discusses the importance of multidisciplinary collaboration, optimal use of spirometry, imaging, and symptom-based questionnaires as screening tools, and strategies for balancing immunosuppressive therapy with respiratory health.
Expert Opinion:
Greater awareness of COPD as a pulmonary manifestation of RA is essential. Early recognition through systematic screening and integrated care models may significantly improve patient outcomes and reduce disease burden.
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