title: Lung involvement in inflammatory rheumatic diseases.
abstract: This chapter describes the involvement of the lung in systemic inflammatory joint disease (IJD) with a particular focus on rheumatoid arthritis, although the topics of pulmonary involvement in ankylosing spondylitis and psoriatic arthritis are also addressed. Interstitial lung disease is the most lethal pulmonary complication of IJD and the chapter describes recent advances in both our understanding of this complication and the therapeutic options that offer real hope for improved outcomes. Although less well recognised, airways disease is just as common and its association with IJD is described in some detail, with a section devoted to the recent surge in interest in bronchiectasis. Acute pulmonary infection is common in IJD and its management is reviewed in some detail. Although pleural disease is less common than it once was, its treatment is explored. We conclude by reviewing the relationship between the drug therapies employed in IJD and their effects on the lung.
authors.affiliation: Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UK. Electronic address: clive.kelly@ghnt.nhs.uk.
authors.forename: Clive
authors.initials: C
authors.lastname: Kelly
authors.affiliation: Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UK.
authors.forename: Kundan
authors.initials: K
authors.lastname: Iqbal
authors.affiliation: Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UK.
authors.forename: La'ali
authors.initials: L
authors.lastname: Iman-Gutierrez
authors.affiliation: Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UK.
authors.forename: Phil
authors.initials: P
authors.lastname: Evans
authors.affiliation: Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UK.
authors.forename: Kanchan
authors.initials: K
authors.lastname: Manchegowda
mesh_terms: D006801:Humans; D008171:Lung Diseases / Q000209:etiology*; D012216:Rheumatic Diseases / Q000150:complications*
keywords: Ankylosing spondylitis; Bronchiectasis; Drug-induced lung disease; Fibrosis; Infection; Lung disease; Pleural disease; Psoriatic arthritis; Rheumatoid arthritis