학술논문

Targeted Therapy in Rheumatoid-Arthritis-Related Interstitial Lung Disease.
Document Type
Article
Source
Journal of Clinical Medicine. Oct2023, Vol. 12 Issue 20, p6657. 18p.
Subject
*INTERSTITIAL lung diseases
*RHEUMATOID arthritis
*SMALL molecules
Language
ISSN
2077-0383
Abstract
Rheumatoid arthritis (RA) is a chronic autoimmune multisystem inflammatory disease in which lung involvement is the most common extra-articular manifestation. Parenchymal lung involvement or interstitial lung disease (ILD) is a significant cause of morbidity and mortality and there is a paucity of evidence-based guidance on how to best treat RA-ILD. This review article aims to evaluate the evidence from cohort studies and best real word data from registries. Extensive discussion of the relative merits and drawbacks of glucocorticoids, various biologics, small molecules and anti-fibrotics is presented. The limited available guidelines in RA-ILD are also discussed and a rational treatment algorithm is offered. [ABSTRACT FROM AUTHOR]