학술논문

"Management of myositis associated interstitial lung disease".
Document Type
Article
Source
Rheumatology International. Jul2023, Vol. 43 Issue 7, p1209-1220. 12p.
Subject
*MYOSITIS
*INTERSTITIAL lung diseases
*DERMATOMYOSITIS
*SYMPTOMS
*IMMUNOSUPPRESSIVE agents
*SKELETAL muscle
*PULMONARY manifestations of general diseases
Language
ISSN
0172-8172
Abstract
Idiopathic inflammatory myopathies (IIM) are rare disorders characterised by the presence of skeletal muscle inflammation, with interstitial lung disease (ILD) being the most frequent pulmonary manifestation. The spectrum of clinical presentations of myositis related ILD (M-ILD) encompasses a chronic process to a rapidly progressive ILD (RP-ILD); which is associated with a high mortality rate. The most effective treatments remain controversial and poses a unique challenge to both rheumatologists and respiratory physicians to manage. Given the rare heterogenous nature of M-ILD, there is a paucity of data to guide treatment. The cornerstone of existing treatments encompasses combinations of immunosuppressive therapies, as well as non-pharmacological therapies. In this review, we aim to summarize the current pharmacological therapies (including its dosing regimens and side effects profiles) and non-pharmacological therapies. Based on the existing literature to date, we propose a treatment algorithm for both chronic M-ILD and RP-ILD. [ABSTRACT FROM AUTHOR]