A Historic Cohort Analysis of Radiographic and Serologic Findings in Patients With Scleroderma and Interstitial Lung Disease

J Clin Rheumatol. 2024 Jan 1;30(1):e18-e22. doi: 10.1097/RHU.0000000000002042. Epub 2023 Nov 20.

Abstract

Background/objective: Few studies have investigated associations between rheumatologic serology patterns and different interstitial lung disease (ILD) patterns.

Methods: We present novel findings of a historic cohort study (n = 454) with data collected from 2011 to 2021 within our hospital system. In this institutional review board-approved study, data regarding rheumatologic serologies and ILD patterns were noted based on chart review in patients with scleroderma. The Kruskal-Wallis rank sum and χ2 tests were used for statistical analysis.

Results: Results showed a statistically significant association between anti-U1 snRNP with lymphoid interstitial pneumonia, which has not been previously described.

Conclusions: We demonstrated novel serologic associations with ILD patterns, which have important clinical implications. More robust and high-powered studies are needed to elucidate the role of serologic testing and their association with ILD phenotypes.

MeSH terms

  • Antibodies, Antinuclear
  • Arthritis, Rheumatoid* / complications
  • Cohort Studies
  • Humans
  • Lung
  • Lung Diseases, Interstitial* / diagnostic imaging
  • Lung Diseases, Interstitial* / etiology
  • Retrospective Studies
  • Scleroderma, Localized* / complications
  • Scleroderma, Systemic* / complications
  • Scleroderma, Systemic* / diagnosis

Substances

  • Antibodies, Antinuclear