Pan Lin, Liu Yuan, Sun Rongfei, Fan Mingyu, Shi Guixiu
West China School of Medicine, Sichuan University, Chengdu 610000, China.
Clin Dev Immunol. 2013;2013:121578. doi: 10.1155/2013/121578. Epub 2013 Sep 19.
Our study compared the prevalence and characteristics of patients with connective tissue disease-associated interstitial lung disease (CTD-ILD), undifferentiated connective tissue disease-associated interstitial lung disease (UCTD-ILD), or idiopathic pulmonary fibrosis (IPF) between January 2009 and December 2012 in West China Hospital, western China. Patients who met the criteria for ILD were included and were assigned to CTD-ILD, UCTD-ILD, or IPF group when they met the criteria for CTD, UCTD, or IPF, respectively. Clinical characteristics, laboratory tests, and high-resolution CT images were analyzed and compared among three groups. 203 patients were included, and all were Han nationality. CTD-ILD was identified in 31%, UCTD-ILD in 32%, and IPF in 37%. Gender and age differed among groups. Pulmonary symptoms were more common in IPF, while extrapulmonary symptoms were more common in CTD-ILD and UCTD-ILD group. Patients with CTD-ILD had more abnormal antibody tests than those of UCTD-ILD and IPF. Little significance was seen in HRCT images among three groups. A systematic evaluation of symptoms and serologic tests in patients with ILD can identify CTD-ILD, UCTD-ILD, and IPF.
我们的研究比较了2009年1月至2012年12月期间在中国西部华西医院就诊的结缔组织病相关间质性肺病(CTD-ILD)、未分化结缔组织病相关间质性肺病(UCTD-ILD)或特发性肺纤维化(IPF)患者的患病率及特征。符合间质性肺病标准的患者被纳入研究,当他们分别符合CTD、UCTD或IPF标准时,被分配到CTD-ILD、UCTD-ILD或IPF组。对三组患者的临床特征、实验室检查及高分辨率CT图像进行分析和比较。共纳入203例患者,均为汉族。其中CTD-ILD占31%,UCTD-ILD占32%,IPF占37%。三组患者的性别和年龄存在差异。肺部症状在IPF中更常见,而肺外症状在CTD-ILD和UCTD-ILD组中更常见。CTD-ILD患者的抗体检查异常情况比UCTD-ILD和IPF患者更多。三组患者的HRCT图像差异不大。对间质性肺病患者的症状和血清学检查进行系统评估可鉴别CTD-ILD、UCTD-ILD和IPF。