Common symptoms associated with the disease include shortness of breath, cough, chest pain and fever. It disease modifying drugs for rheumatoid arthritis estimated that about one quarter of people with rheumatoid arthritis develop this disease, which are more likely to develop among elderly men with a history of smoking. The prevalence of RA is around 0.
3 times more susceptible than men. A study showed 582 patients with RA and 603 subjects without RA were followed for a mean of 16. The lifetime risk of developing ILD was 7. The risk of developing ILD was higher in patients with older age at RA onset, among male patients and for individuals with parameters that indicate more severe RA. Survival of RA patients diagnosed with ILD was worse compared to RA patients without ILD. RA patients when compared to the general population. Rheumatoid Lung was first described in 1948.
1948, they published several cases of patients with RA who had severe erosive joint disease who also developed an interstitial lung and suggested there may be an association between the inflammatory joint disease and interstitial lung disease. 1954, rheumatoid lung nodules were found in patients with RA who were not exposed to coal dust and without pneumoconiosis. 1955 there was a short case series of about 10 patients with RA whose autopsies showed that the pleural disease was much higher in rheumatoid patients than in the general population, and much higher than what they had previously seen clinically. 1961, Cudkowicz described the first pulmonary function tests and lung biopsies were done in RA patients. RA is a complex and poorly understood disease.
Smoking has long been linked to RA and worsens articular disease as well as rheumatoid lung disease. People may not present with all these symptoms or non at all. However, RF is also associated with other autoimmune diseases. The detection of anti-CCP is currently considered the most specific marker of RA.
The diagnosis of rheumatoid lung disease is based on evaluation of pulmonary function, radiology, serology and lung biopsy. High resolution CT scans are preferred to chest X-rays due to their sensitivity and specificity. When listening to the heart, there may be abnormal heart sounds. Bronchoscopic, video-assisted, or open lung biopsy allows the histological characterization of pulmonary lesions, which can distinguish rheumatoid lung disease from other interstitial lung diseases.