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(Chest. 1972;62:243-250.)
© 1972 American College of Chest Physicians

Interstitial Rheumatoid Lung Disease

A Reassessment and Review of the Literature

Michael S. Popper M.D.1; Maurice L. Bogdonoff M.D.1; and Richard L. Hughes M.D., F.G.C.P.1

1 Sections of Cardio-Respiratory Disease and Thoracic Radiology, Rush-Preshyterian-St. Luke's Medical Center, Chicago

Thirty rheumatoid arthritic patients (RA) and 30 osteoarthritic patients (OA) were studied radiographically and functionally to further evaluate the significance of diffuse interstitial pulmonary disease in patients with rheumatoid arthritis. Ten RA patients (33 percent) were found to have either radiographic or diffusion abnormalities consistent with interstitial fibrosis. None of the OA patients were found to be affected. Except for signs and symptoms directly attributable to the pulmonary lesions, historic and clinical characteristics were not found to be of value in defining affected RA patients. Surveys which screen for interstitial disease should utilize both chest radiographs and diffusion capacity measurement for adequate evaluation.




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