A study of Pulmonary Manifestations in Collagen Vascular Diseases

Authors

  • Parul Vadgama Government Medical College, Surat
  • Pankaj Garg General Medicine, NHL Medical college, Ahmedabad

Keywords:

Collagen vascular diseases, HRCT, Pulmonary Arterial Hypertension

Abstract

Introduction: Collagen vascular diseases are group of diseases with specific characteristics. Pulmonary manifestations are com- monly present in collagen Vascular Diseases. The research was conducted to study pulmonary manifestations of collagen vascular diseases clinically; to study the demographic incidence in patients with pulmonary manifestations in collagen vascular diseases; to study radiological manifestations in terms of Chest X-Ray & HRCT Thorax; and also to study pulmonary functions tests in collagen vascular diseases.

Material & methods: This is a retrospective study on 50 patients of already diagnosed patient collagen vascular diseases.

Results: Pulmonary manifestations are present in 40% of patients had scleroderma (SC), 30% of cases of Systemic Lupus Erythematosis (SLE), 20% of patients of Rheumatoid Arthritis while 10% of Patients with Mixed Connective Tissue Disorders. Restrictive pattern is common in all types of collagen vascular dis- eases on pulmonary function testing. 24% of patients of collagen vascular disease had pulmonary arterial hypertension. On HRCT reticulonodular pattern is more common.

Conclusion: Pulmonary manifestations are commonly present in collagen vascular diseases. Broad choice of investigations should be done to prevent early mortality & morbidity.

References

Devaraj A,Wells AU, Hansell DM. Computed Tomographic Imaging in Connective Tissue Diseases. Semin Respir Crit Care Med. 2007; 28 : 389-97

Woodhead F, Wells AU, Desai SR. Pulmonary Complica- tions of Connective Tissue Diseases. Clin Chest Med; 2008; 29 : 149-64

A G Rockall, D Rickards, P J Shaw. Imaging of the pulmo- nary manifestations of systemic disease. Postgrad Med J 2001;77:621–638

Hend M Maghray, Rehab Abd- Elfattah Mohamed & Emam Abdelaziz. Assessment of pulmonary manifestationsof col- lagen diseases: High Resolution Tomography Findings. AAMJ;2013;10 (4)Suppl-1

Padley SPG, Hansell DM, Flower CDR, et al. Comparative accuracy of high resolution computed tomography and chest radiography in the diagnosis of chronic diVuse infil- trative lung disease. Clin Radiol 1991;44:227–31.

Bonelli FS, Hartman TE, Swenson SJ, et al. Accuracy of high-resolution CT in diagnosing lung diseases. AJR 1998; 170:1507–12

Mehrdad Baknshayesh Karam, Hamideh Perivareh & Leila Mosadegh. Thoracic Imaging Findings of Collagen Vascular Diseases: ACT Study. Journal of Respiratory Diseses, Tho- racic Imaging, Intensive Care and Tuberculosis; 2014:13 (1):43-47

G. S. Gaude, V. Mahishale & A.Srivastva. Pulmonary Mani- festations in Connective Tissue Disorders: Hospital – based Study at a Tertiary Care Hospital. Indian J chest Dis Allied Sci 2009:51:145-151

Mayberry J P, Primack SL, Muller NL. Thoracic manifesta- tions of systemic autoimmune diseases; Radiographic & high resolution CT Findings. Radiographics2000;20 (6):1623- 35

G C Kane, J Varga, E F Conant, P.W. Spirn, S. Jimenez, J.E. Fish. Lung Involvement in Systemic sclerosis (scleroderma): Relation to classification based on extent of Skin involve- ment as Autoantibody Status. Respiratory Medicine; 1996 (90): 223-230

Julia Capobianco, Alexandre Gremberg, Bruna M. Thomp- son, Viviane B. Antunes. Dany Jasino wodolinski, Gustava

S.P. Meirelles. Thoracic manifestations of Collagen Vascular Diseases. Radiographics2012: 32 (1)

Condliffe R, Kiely DG, Peacock AJ, Corris PA, Gibbs JS, Vrapi F, et al. Connective tissue disease-associated pulmo- nary arterial hypertension in the modern treatment era. Am J Respir Crit Care Med 2009;179:151–157.

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Published

2018-12-31

How to Cite

1.
Vadgama P, Garg P. A study of Pulmonary Manifestations in Collagen Vascular Diseases. Natl J Community Med [Internet]. 2018 Dec. 31 [cited 2024 Dec. 22];9(12):889-92. Available from: https://njcmindia.com/index.php/file/article/view/839

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Original Research Articles