斑块性牛皮患者间隔性肺病的CT模式:一个回顾性案例系列研究
Giulio Rizzetto1, Corrado Tagliati2, Marco Fogante3
1Department of Clinical and Molecular Sciences, Dermatology Clinic, Polytechnic Marche University, 60121 Ancona, Italy.
Medicina (Kaunas, Lithuania)
|September 28, 2023
概括
斑块性牛皮 (PP) 患者可能会患上间歇性肺部疾病 (ILD). 患有PP的吸烟者在CT扫描上显示通常的间歇性肺炎 (UIP) 模式的频率更高.
科学领域:
- 肺部病理学 肺部病理学
- 皮肤病学 皮肤病学
- 放射学 放射学是一门学科.
背景情况:
- 最近的研究表明,牛皮和间歇性肺部疾病 (ILD) 之间存在联系.
- 斑块性牛皮 (PP) 是一种自身免疫性疾病,具有潜在的全身表现.
研究的目的:
- 为了比较吸烟者与从未吸烟者之间的斑块性牛皮 (PP) 患者的间歇性肺病 (ILD) 计算机断层扫描 (CT) 模式.
- 排除患有牛皮关节炎 (PA),炎症性肠病 (IBD) 或结缔组织疾病 (CTD) 的患者.
主要方法:
- 两位放射科医生审查了65名斑块性牛皮 (PP) 患者 (33名吸烟者,32名从未吸烟者) 的胸部CT扫描.
- 患者正在接受局部治疗,并且没有牛皮关节炎 (PA),炎症性肠病 (IBD) 或结缔组织疾病 (CTD).
主要成果:
- 通常的间歇性肺炎 (UIP) 模式是最常见的ILD发现 (36名患者).
- 在吸烟患者中观察到统计学上显著的UIP模式的更高频率 (p = 0.0351).
- 在评估的斑块性牛皮 (PP) 患者中,80%报告了呼吸道症状.
结论:
- 间歇性肺病 (ILD) 可能代表与牛皮相关的新型并发症.
- 吸烟与常见的间歇性肺炎 (UIP) 模式在斑块性牛皮 (PP) 患者之间存在显著的关联.
- 建议在与放射学和肺病学专家合作的情况下,对斑块性牛皮 (PP) 患者的呼吸道症状进行评估.
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