Lung disease related to collagen vascular disease

J Thorac Imaging. 2009 Nov;24(4):299-309. doi: 10.1097/RTI.0b013e3181c1acec.

Abstract

Collagen vascular disease is one of the most common causes of chronic infiltrative lung disease. Patterns of lung injury from collagen vascular disease include nonspecific interstitial pneumonia (NSIP), usual interstitial pneumonia, organizing pneumonia, bronchiectasis, obliterative bronchiolitis, and pulmonary arterial hypertension. The prevalence of each entity varies according to the specific disease entity. NSIP and pulmonary hypertension are common in scleroderma, whereas usual interstitial pneumonia, bronchiectasis, and obliterative bronchiolitis are commonly found in rheumatoid arthritis. In systemic lupus erythematosus, pleural effusions and pulmonary hemorrhage are the salient features. In polymyositis, a combination of organizing pneumonia and NSIP is characteristic. Sjögren syndrome is characterized by bronchiectasis and lymphoid interstitial pneumonia, often associated with thin-walled cysts. Ankylosing spondylitis is associated with upper lobe fibrosis, and may be complicated by mycetoma.

Publication types

  • Review

MeSH terms

  • Bronchiectasis / complications
  • Bronchiectasis / diagnostic imaging
  • Bronchiectasis / pathology
  • Bronchiolitis Obliterans / complications
  • Bronchiolitis Obliterans / diagnostic imaging
  • Bronchiolitis Obliterans / pathology
  • Connective Tissue Diseases / complications*
  • Connective Tissue Diseases / diagnostic imaging*
  • Connective Tissue Diseases / pathology
  • Cryptogenic Organizing Pneumonia / complications
  • Cryptogenic Organizing Pneumonia / diagnostic imaging
  • Cryptogenic Organizing Pneumonia / pathology
  • Humans
  • Hypertension, Pulmonary / complications
  • Hypertension, Pulmonary / diagnostic imaging
  • Hypertension, Pulmonary / pathology
  • Idiopathic Pulmonary Fibrosis / complications
  • Idiopathic Pulmonary Fibrosis / diagnostic imaging
  • Idiopathic Pulmonary Fibrosis / pathology
  • Lung Diseases, Interstitial / complications*
  • Lung Diseases, Interstitial / diagnostic imaging*
  • Lung Diseases, Interstitial / pathology
  • Lupus Erythematosus, Systemic / complications
  • Lupus Erythematosus, Systemic / pathology
  • Polymyositis / complications
  • Polymyositis / pathology
  • Radiography, Thoracic*
  • Scleroderma, Systemic / complications
  • Scleroderma, Systemic / pathology
  • Sjogren's Syndrome / complications
  • Sjogren's Syndrome / pathology
  • Spondylitis, Ankylosing / complications
  • Spondylitis, Ankylosing / pathology
  • Tomography, X-Ray Computed*