Inflammatory myopathies

Interstitial lung disease with and without progressive fibrosing phenotype in patients with idiopathic inflammatory myopathies: data from a large multicentric cohort

RMD OpenPublished Retrospective cohort study

Study context

Population
Patients with IIM from a multicentric prospective cohort125 with interstitial lung disease (ILD)
Participants
253 patients
Outcome
Occurrence of PF-ILD (2022 American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/ALAT guidelines) in IIM and factors predicting it
Follow-up
1-year follow-up
Methodological detailsmulticentre, retrospective evaluation of a prospective cohort, univariate and multivariate analyses
  • Multicentre
  • Retrospective evaluation of a prospective cohort
  • Univariate and multivariate analyses

Main finding

As reported in the abstract

PF-ILD in IIM-ILD

Progressive fibrosing ILD (PF-ILD) occurrence among IIM-ILD

18%

Observational data: associations, not effects.

Further findings

ILD in IIM

ILD among patients with IIM
125 (49%)
ILD at IIM diagnosis
99 (78%)
ILD during follow-up
26 (22%)
ILD during follow-up within 5 years
21/26
Independently associated with ILD (multivariate): anti-Jo-1, anti-MDA5, anti-Ro52, high manual muscle test score, mechanic's hands, RP

Predominant high-resolution CT (HRCT) pattern in IIM-ILD

Non-specific interstitial pneumonia (NSIP)
50%
Usual interstitial pneumonia (UIP)
28%
Organising pneumonia (OP)
22%

Original publication

Interstitial lung disease with and without progressive fibrosing phenotype in patients with idiopathic inflammatory myopathies: data from a large multicentric cohort. RMD Open. Published 4 August 2023. doi:10.1136/rmdopen-2023-003121

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