CASE REPORT


Diagnosis and Management of Patients with Connective Tissue Disease-related Fibrosing Interstitial Lung Diseases



Bonnie Wang1, *, Vivek Nagaraja2
1 Department of Internal Medicine, Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI 48109, USA
2 Department of Internal Medicine, Division of Rheumatology, University of Michigan, Ann Arbor, MI 48109, USA


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Creative Commons License
© 2023 Wang and Nagaraja

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Internal Medicine, Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI 48109, USA; E-mail: wbonnie@med.umich.edu


Abstract

Background:

Fibrotic interstitial lung disease is an important driver of morbidity and mortality in patients with connective tissue diseases (CTD). Due to the lack of prospective randomized trial data in this population, practice pattern variation exists in the management of patients with CTD.

Case Presentation:

This case series describes three patients, each with a different background of autoimmunity complicated by fibrotic interstitial lung disease (ILD). We review their initial presentations, follow their disease trajectories on currently available treatments, and reference forthcoming clinical trials.

Conclusion:

Clinical impact or potential implications. Response to immunosuppression and antifibrotic therapy is variable in patients with connective tissue disease-related fibrosing interstitial lung disease. Data from prospective clinical trials and longitudinal registry studies will conceivably provide additional insight into improving care for these patients.

Keywords: Autoimmune disease, Connective tissue disease, Diagnosis, Fibrosis, Interstitial lung disease, Lung.