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Updated: May 28, 2026
04:44
Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Optimizing Personalized Care Through Multidisciplinary Management in Rheumatoid Arthritis-Associated Interstitial
Milica Markovic1,2, Gemma Lepri1, Marco Matucci Cerinic3
1Division of Rheumatology, AOU Careggi, Department of Experimental and Clinical Medicine, University of Florence, Via delle Oblate 4, 50141 Florence, Italy.
Journal of Personalized Medicine
|May 26, 2026
Summary
Multidisciplinary care improves diagnosis and management of rheumatoid arthritis-associated interstitial lung disease (RA-ILD). This approach integrates rheumatologic, pulmonary, and radiologic expertise for personalized patient strategies.
Area of Science:
- Rheumatology
- Pulmonology
- Radiology
- Immunology
Background:
- Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is a significant complication of rheumatoid arthritis (RA), increasing patient morbidity and mortality.
- Diagnosing and managing RA-ILD necessitates a combined approach from rheumatology, pulmonology, and radiology specialists.
- Multidisciplinary care offers a framework for personalized medicine in RA-ILD by integrating patient heterogeneity, but real-world data are limited.
Purpose of the Study:
- To review primary studies on the diagnostic, organizational, educational, and clinical aspects of RA-ILD within a multidisciplinary care model.
- To synthesize current evidence on multidisciplinary approaches for RA-ILD from 2015-2025.
Main Methods:
- A narrative review of original research published between January 1, 2015, and November 30, 2025.
- Searches were conducted on PubMed and major publisher platforms using keywords such as "rheumatoid arthritis," "interstitial lung disease," "RA-ILD," and "multidisciplinary care."
- Studies were limited to primary research; reviews and consensus statements were excluded.
Main Results:
- Five primary studies met the inclusion criteria, highlighting RA-ILD as a complex condition requiring integrated interpretation of imaging, pulmonary function, and rheumatologic findings.
- Multidisciplinary evaluation can enhance diagnostic accuracy, reduce unclassifiable interstitial lung disease (ILD), and help distinguish autoimmune-related ILD from idiopathic forms.
- Practices among ILD multidisciplinary teams show significant variability, and patients report emotional distress and a need for improved communication and education.
Conclusions:
- Effective management of RA-ILD relies on collaborative, multidisciplinary assessment across specialties.
- Multidisciplinary care provides a framework for personalized medicine in RA-ILD, improving diagnostic precision and tailoring treatment strategies by considering clinical, radiologic, and immunologic factors.
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