N.G. SHAMSUTDINOVA¹, E.V. DYAKOVA², A.R. AKHMADIYEVA², L.I. MINGAZOVA², N.S. SPIRIDONOVA²

¹Kazan State Medical University, Kazan

²Republican Clinical Hospital of the MH of RT, Kazan

 Contact:

Shamsutdinova N.G. ― PhD (medicine), Assistant of the Department of Hospital Therapy

Address: 49 Butlerov Str., Kazan, Russian Federation, 420012, tel. +7-904-763-83-72, e-mail: nailya@e-diva.ru

Objective ― to present the features of interstitial involvement in rheumatic diseases. To describe the main morphologically variants of interstitial lung lesions associated with systemic diseases of the connective tissue ― nonspecific interstitial pneumonia and ordinary interstitial pneumonia.

Material and methods. Analysis of images of high resolution computer tomograms of 7 patients of the Pulmonology Department of the RCH MH RT with a mixed disease of connective tissue with damaged pulmonary interstitium.

Results. In 6 patients, the RCT pattern of nonspecific interstitial pneumonia was identified, in 1 patient, probable usual interstitial pneumonia was identified. In 4 patients, a ground glass symptom was identified, in 3 patients mild traction bronchiectasis and reticular changes were revealed. All patients have pneumofibrosis. A decrease in lung volume was determined in 6 patients. An increase in intrathoracic lymph nodes was detected in 3 patients.

Conclusion. High-resolution computed tomography plays a major role in the diagnosis of interstitial lung diseases, while image features are often nonspecific. For proper diagnosis, a combined assessment of clinical signs, serological tests, results of pulmonary and extrapulmonary imaging, and sometimes biopsy of lung tissue is necessary.

Key words: rheumatic diseases, ordinary interstitial pneumonia, non-specific interstitial pneumonia, interstitial lung diseases. 

(For citation: Shamsutdinova N.G., Dyakova E.V., Akhmadieva A.R., Mingazova L.I., Spiridonova N.S. Interstitial lung diseases in patients with rheumatic diseases. Practical medicine. 2019. . Vol. 17, № 6 (part 1), P. 64-66)

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