Interstitial lung disease in patients with idiopathic inflammatory myopathy (IIM-ILD): Definitions, epidemiology, pathophysiology, clinical manifestations, complications, risk, and mortality factors (narrative review)

Interstitial lung disease refers to a group of disorders generally characterized by progressive scarring of lung tissue due to a wide variety of causes and associated with a plethora of symptoms. Patients with this diagnosis can be asymptomatic or present severe symptoms that could lead to death. It...

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Published inRevista Colombiana de Reumatología (English Edition) Vol. 31; no. 3; pp. 399 - 411
Main Authors Hormaza-Jaramillo, Andrés, Fernandez-Trujillo, Liliana, Delgado-Mora, Tatiana, Vargas-Potes, Carlos Julio
Format Journal Article
LanguageEnglish
Published Elsevier España, S.L.U 01.07.2024
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Abstract Interstitial lung disease refers to a group of disorders generally characterized by progressive scarring of lung tissue due to a wide variety of causes and associated with a plethora of symptoms. Patients with this diagnosis can be asymptomatic or present severe symptoms that could lead to death. Its signs and symptoms are the same in patients with concomitant connective tissue disease and those without. Genetics and immunity play essential roles in patients with interstitial lung disease and idiopathic inflammatory myopathy. Alterations in genes and excessive production of specific cytokines can lead to the development of interstitial lung disease. Interstitial lung disease can have several complications, including chronic respiratory distress and infections, and can worsen the prognosis of patients with idiopathic inflammatory myopathy. Here, we present a narrative review describing the epidemiology, pathophysiology, clinical manifestations, risk factors, and complications of the population with interstitial lung disease and idiopathic inflammatory myopathy. La enfermedad pulmonar intersticial se refiere a un grupo de trastornos generalmente caracterizados por cicatrización progresiva del tejido pulmonar, debidos a una amplia variedad de causas y asociados con múltiples síntomas. Los pacientes con este diagnóstico pueden estar asintomáticos o presentar síntomas severos que podrían conducir a la muerte. Los signos y los síntomas de esta enfermedad son iguales en pacientes que tienen una enfermedad del tejido conectivo concomitante y en aquellos que no la tienen. La genética y la inmunidad desempeñan papeles esenciales en pacientes con enfermedad pulmonar intersticial y miopatía idiopática inflamatoria. Las alteraciones en los genes y la producción excesiva de citoquinas específicas pueden conducir al desarrollo de la enfermedad. A su vez, la enfermedad pulmonar intersticial puede tener varias complicaciones, como dificultad respiratoria crónica e infecciones, y puede empeorar el pronóstico de los pacientes con miopatía idiopática inflamatoria. Presentamos una revisión narrativa que describe la epidemiología, la fisiopatología, las manifestaciones clínicas, los factores de riesgo y las complicaciones de la población con enfermedad pulmonar intersticial y miopatía idiopática inflamatoria.
AbstractList Interstitial lung disease refers to a group of disorders generally characterized by progressive scarring of lung tissue due to a wide variety of causes and associated with a plethora of symptoms. Patients with this diagnosis can be asymptomatic or present severe symptoms that could lead to death. Its signs and symptoms are the same in patients with concomitant connective tissue disease and those without. Genetics and immunity play essential roles in patients with interstitial lung disease and idiopathic inflammatory myopathy. Alterations in genes and excessive production of specific cytokines can lead to the development of interstitial lung disease. Interstitial lung disease can have several complications, including chronic respiratory distress and infections, and can worsen the prognosis of patients with idiopathic inflammatory myopathy. Here, we present a narrative review describing the epidemiology, pathophysiology, clinical manifestations, risk factors, and complications of the population with interstitial lung disease and idiopathic inflammatory myopathy. La enfermedad pulmonar intersticial se refiere a un grupo de trastornos generalmente caracterizados por cicatrización progresiva del tejido pulmonar, debidos a una amplia variedad de causas y asociados con múltiples síntomas. Los pacientes con este diagnóstico pueden estar asintomáticos o presentar síntomas severos que podrían conducir a la muerte. Los signos y los síntomas de esta enfermedad son iguales en pacientes que tienen una enfermedad del tejido conectivo concomitante y en aquellos que no la tienen. La genética y la inmunidad desempeñan papeles esenciales en pacientes con enfermedad pulmonar intersticial y miopatía idiopática inflamatoria. Las alteraciones en los genes y la producción excesiva de citoquinas específicas pueden conducir al desarrollo de la enfermedad. A su vez, la enfermedad pulmonar intersticial puede tener varias complicaciones, como dificultad respiratoria crónica e infecciones, y puede empeorar el pronóstico de los pacientes con miopatía idiopática inflamatoria. Presentamos una revisión narrativa que describe la epidemiología, la fisiopatología, las manifestaciones clínicas, los factores de riesgo y las complicaciones de la población con enfermedad pulmonar intersticial y miopatía idiopática inflamatoria.
Author Hormaza-Jaramillo, Andrés
Fernandez-Trujillo, Liliana
Vargas-Potes, Carlos Julio
Delgado-Mora, Tatiana
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  givenname: Liliana
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  givenname: Carlos Julio
  surname: Vargas-Potes
  fullname: Vargas-Potes, Carlos Julio
  organization: Department of Internal Medicine, Faculty of Health Sciences, Universidad Icesi, Cali, Colombia
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Keywords Clinical manifestations
Epidemiología
Enfermedad pulmonar intersticial
Autoantibodies
Autoanticuerpos
Mortality
Idiopathic inflammatory myopathy
Mortalidad
Interstitial lung disease
Epidemiology
Miopatía idiopática inflamatoria
Manifestaciones clínicas
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  article-title: The spectrum and clinical significance of myositis-specific autoantibodies in Chinese patients with idiopathic inflammatory myopathies
  publication-title: Clin Rheumatol
  doi: 10.1007/s10067-019-04503-7
  contributor:
    fullname: Li
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Snippet Interstitial lung disease refers to a group of disorders generally characterized by progressive scarring of lung tissue due to a wide variety of causes and...
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SubjectTerms Autoantibodies
Autoanticuerpos
Clinical manifestations
Enfermedad pulmonar intersticial
Epidemiology
Epidemiología
Idiopathic inflammatory myopathy
Interstitial lung disease
Manifestaciones clínicas
Miopatía idiopática inflamatoria
Mortalidad
Mortality
Title Interstitial lung disease in patients with idiopathic inflammatory myopathy (IIM-ILD): Definitions, epidemiology, pathophysiology, clinical manifestations, complications, risk, and mortality factors (narrative review)
URI https://dx.doi.org/10.1016/j.rcreue.2023.08.002
Volume 31
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