与连接组织疾病相关的间歇性肺部疾病的诊断方法
Ana C Zamora1, Lewis J Wesselius1, Michael B Gotway2
1Division of Pulmonary and Sleep Medicine, Department of Medicine, Mayo Clinic Arizona, Scottsdale, Arizona.
Seminars in respiratory and critical care medicine
|April 17, 2024
概括
间歇性肺部疾病 (ILD) 涉及肺部透和纤维化. 本综述详细介绍了使用多学科方法诊断与系统性自身免疫性类风湿性疾病 (SARD) 相关的ILD.
科学领域:
- 肺部病理学 肺部病理学
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 间歇性肺病 (ILD) 是一种涉及肺透和纤维化的呼吸道疾病.
- 虽然一些ILD是特异性疾病,但大多数都源于诸如系统性自身免疫性类风湿性疾病 (SARD),环境暴露,药物或遗传因素等原因.
- 本综述特别讨论了与SARD相关的ILDs的诊断策略.
研究的目的:
- 概述系统性自身免疫性风湿性疾病患者间歇性肺病的诊断方法.
- 强调合作,多学科的诊断过程的必要性.
主要方法:
- 对与SARD相关的ILDs的诊断策略的审查.
- 强调整合肺病学,风湿病学,放射学和病理学方面的专业知识的重要性.
- 专注于个性化,基于共识的方法.
主要成果:
- 准确诊断SARD相关的ILDs需要一个多学科的团队.
- 涉及多个专业的基于共识的方法对于诊断至关重要.
- 在某些情况下,确定的诊断可能仍然难以捉摸,表现和预后可能会变化.
结论:
- 诊断与系统性自身免疫性类风湿性疾病相关的间歇性肺病需要一个全面的,多学科的战略.
- 肺病学家,风湿病学家,放射学家和病理学家之间的合作是关键.
- 即使有专家的意见,一些与SARD相关的ILD也会带来诊断挑战,结果变化不定.
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