Clinical perspective and practices on pleural effusions in chronic systemic inflammatory diseases.
Journal
Breathe (Sheffield, England)
ISSN: 1810-6838
Titre abrégé: Breathe (Sheff)
Pays: England
ID NLM: 101231007
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
entrez:
15
1
2021
pubmed:
16
1
2021
medline:
16
1
2021
Statut:
ppublish
Résumé
Systemic inflammatory diseases are a heterogeneous family of autoimmune chronic inflammatory disorders that affect multiple systems within the human body. Connective tissue disease (CTD) is a large group within this family characterised by immune-mediated inflammation of the connective tissue. This group of disorders are often associated with pleural manifestations. CTD-induced pleuritis exhibits a wide variety of symptoms and signs including exudative pleural effusions and chest pain. Accurate estimation of prevalence for CTD-related pleuritis is challenging as small effusions are asymptomatic and remain undetected. Rheumatoid arthritis and systemic lupus erythematosus are frequent CTDs and present with pleural pathology in approximately 5-20% and 17-60% of cases, respectively. By contrast, pleural involvement in systemic sclerosis, eosinophilia-myalgia syndrome, mixed connective tissue disease, ankylosing spondylitis, polymyositis and dermatomyositis syndrome is rare. Clinical management depends on the severity of symptoms; however, most effusions resolve spontaneously. In this review we discuss the pathophysiological mechanisms and the clinical considerations of CTD-induced pleuritis.
Identifiants
pubmed: 33447289
doi: 10.1183/20734735.0203-2020
pii: EDU-0203-2020
pmc: PMC7792825
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
200203Subventions
Organisme : Medical Research Council
ID : G0600520
Pays : United Kingdom
Organisme : Medical Research Council
ID : G1001046
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00008/11
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/L018942/1
Pays : United Kingdom
Informations de copyright
Copyright ©ERS 2020.
Déclaration de conflit d'intérêts
Conflict of interest: X. Yao has nothing to disclose. Conflict of interest: M. Abd Hamid has nothing to disclose. Conflict of interest: A. Sundaralingam has nothing to disclose. Conflict of interest: A. Evans has nothing to disclose. Conflict of interest: R. Karthikappallil has nothing to disclose. Conflict of interest: T. Dong has nothing to disclose. Conflict of interest: N.M. Rahman has nothing to disclose. Conflict of interest: N.I. Kanellakis has nothing to disclose.
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