Haydarpasa Numune Med J. 2021; 61(3): 289-294 | DOI: 10.14744/hnhj.2019.48569

Pulmonary Findings in Rheumatic Diseases

Güler Özgül¹, Iþýl Üstün^2
1University of Health Health Sciences, Baðcýlar Training and Research Hospital, Chest Diseases Clinic
²University of Health Sciences, Bakýrköy Dr Sadi Konuk Training and Research Hospital, Physical Therapy and Rehabilitation Clinic

INTRODUCTION: One of the affected systems in rheumatic diseases is the respiratory system. This study was carried out to investigate the pulmonary involvement findings and the respiratory function tests in rheumatic diseases.
METHODS: Rheumatic patients, who were requested consultation by the Baðcýlar Training and Research Hospital Department of Chest Diseases between 2015 and 2017, have been included in the study. A total of 110 patients; 64 rheumatoid arthritis, 43 ankylosing spondylitis, 2 psoriatic arthritis and 1 Behcet were included. Pulmonary involvement findings, respiratory examination findings and pulmonary function tests (RFT) in chest X - ray and high resolution computed tomography (HRCT) were examined.
RESULTS: 33.64% normal and 66.36% abnormal findings were observed in HRCT findings. Abnormal HRCT findings were found in 70% of RA patients (n: 45) and in 58% of patients with AS (n: 25). When RFTs were examined, 50.0% normal, 32.7% restrictive type respiratory disorder, 15.5% mixed type respiratory disorder and 1.8% obstructive respiratory disorder were observed.
DISCUSSION AND CONCLUSION: Pulmonary involvement with rheumatic diseases can be seen in different ways. HRCT and RFT provide information on the prevalence and grade of pulmonary disease. It leads to correct diagnosis and treatment.

Keywords: Rheumatic disease, lung, repiratory function test, high resolution computed tomography

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Romatizmal Hastalýklarda Akciðer Bulgularý

Güler Özgül¹, Iþýl Üstün^2
1Saðlýk Bilimleri Üniversitesi, Baðcýlar Eðitim ve Araþtýrma Hastanesi, Göðüs Hastalýklarý Kliniði
²Saðlýk Bilimleri Üniversitesi, Bakýrköy Dr Sadi Konuk Eðitim ve Araþtýrma Hastanesi, Fiziksel Týp ve Rehabilitasyon Kliniði

GÝRÝÞ ve AMAÇ: Romatizmal hastalýklarda etkilenen sistemlerden biri de solunum sistemidir. Bu çalýþma romatizmal hastalýklarda görülen akciðer tutulum bulgularý ve solunum fonksiyon testlerini araþtýrmak amacýyla yapýldý.
YÖNTEM ve GEREÇLER: Çalýþmaya 2015-2017 tarihleri arasýnda göðüs hastalýklarý bölümünden konsültasyon istenen romatizmal hastalar alýndý. 64 romatoid artrit, 43 ankilozan spondilit, 2 psöriatik artrit, 1 Behçet olmak üzere toplam 110 hasta alýndý. Akciðer grafisi ve yüksek rezolüsyonlu bilgisayarlý tomografideki (HRCT) akciðer tutulum bulgularý, solunum muayene bulgularý ve solunum fonksiyon testleri (SFT) incelendi.
BULGULAR: HRCT bulgularýnda %33,64 normal, %66,36 anormal bulgular izlendi.RA'li hastalarýn %70'inde (n: 45), AS'li hastalarýn %58'inde (n: 25) anormal HRCT bulgularý saptandý. SFT’leri incelendiðinde %50,0 normal, %32,7 restriktif tip solunum bozukluðu, %15,5 miks tip solunum bozukluðu, %1,8 obstruktif solunum bozukluðu görüldü.
TARTIÞMA ve SONUÇ: Romatizmal hastalýklarla akciðer tutulumu farklý þekillerde görülebilir. HRCT ve SFT pulmoner hastalýðýn yaygýnlýðý ve derecesi hakkýnda bilgi verir. Doðru taný ve tedavide yol gösterir.

Anahtar Kelimeler: Romatizmal hastalýk, akciðer, solunum fonksiyon testi, HRCT

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