PMID- 28544856 OWN - NLM STAT- MEDLINE DCOM- 20180201 LR - 20181202 IS - 1747-6356 (Electronic) IS - 1747-6348 (Linking) VI - 11 IP - 7 DP - 2017 Jul TI - Recent advances in connective tissue disease related interstitial lung disease. PG - 591-603 LID - 10.1080/17476348.2017.1335600 [doi] AB - Interstitial lung disease (ILD) is a common manifestation of connective tissue disease (CTD). Although the majority of patients with CTD-ILD are stable or slowly progressive, a significant group exhibits a more severe and progressive decline. Interstitial pneumonia with autoimmune features (IPAF) describes the subset of patients with interstitial pneumonia who have features suggesting underlying autoimmunity, but whose features fall short of a clear diagnosis of CTD. Areas covered: In this focused review, we discuss recent advances in early detection, prognostic evaluation, and management of autoimmune forms of ILD. Expert commentary: Early detection of ILD and a better understanding of factors that impact prognostication may be helpful when making decisions regarding therapeutic interventions. The treatment of CTD-ILD should be comprehensive, is often fraught with challenges and can be complicated by comorbid conditions and extra-thoracic disease activities. Several large randomized studies have examined the impact of immunosuppressive therapy for CTD-ILD, however, additional studies are needed to determine the optimal treatment strategies. Future studies may provide additional information about the best treatments in patients with IPAF. FAU - Suzuki, Atsushi AU - Suzuki A AD - a Department of Respiratory Medicine and Allergy , Tosei General Hospital , Seto , Japan. FAU - Kondoh, Yasuhiro AU - Kondoh Y AD - a Department of Respiratory Medicine and Allergy , Tosei General Hospital , Seto , Japan. FAU - Fischer, Aryeh AU - Fischer A AD - b Department of Medicine, Divisions of Rheumatology, Pulmonary Sciences and Critical Care Medicine , University of Colorado , Aurora , CO , USA. LA - eng PT - Journal Article DEP - 20170602 PL - England TA - Expert Rev Respir Med JT - Expert review of respiratory medicine JID - 101278196 SB - IM MH - Connective Tissue Diseases/*physiopathology MH - Humans MH - *Lung Diseases, Interstitial/diagnosis MH - Prognosis OTO - NOTNLM OT - CTD-ILD OT - Connective tissue disease OT - interstitial lung disease OT - interstitial pneumonia with autoimmune features OT - recent advances EDAT- 2017/05/26 06:00 MHDA- 2018/02/02 06:00 CRDT- 2017/05/26 06:00 PHST- 2017/05/26 06:00 [pubmed] PHST- 2018/02/02 06:00 [medline] PHST- 2017/05/26 06:00 [entrez] AID - 10.1080/17476348.2017.1335600 [doi] PST - ppublish SO - Expert Rev Respir Med. 2017 Jul;11(7):591-603. doi: 10.1080/17476348.2017.1335600. Epub 2017 Jun 2.