PMID- 34046688 OWN - NLM STAT- MEDLINE DCOM- 20220719 LR - 20220721 IS - 1437-160X (Electronic) IS - 0172-8172 (Print) IS - 0172-8172 (Linking) VI - 42 IP - 8 DP - 2022 Aug TI - Clinical, radiologic and serologic profile of patients with interstitial pneumonia with autoimmune features: a cross-sectional study. PG - 1431-1441 LID - 10.1007/s00296-021-04883-7 [doi] AB - The current study aimed to characterize patients from a rheumatology referral center in north India, who satisfied the definition of interstitial pneumonia with autoimmune features (IPAF) as given by the American Thoracic Society and European Respiratory Society (ATS/ERS) consensus committee in 2015. Thirty-five adult patients aged 18 years and above, fulfilling the 2015 ATS/ERS criteria for IPAF were included in the study. The clinical and immunological profile, and radiologic findings on high-resolution computerized tomography thorax were noted. Antinuclear antibody (ANA) by indirect immunofluorescence at 1:320 titer and myositis-specific antibody (MSA) assays were performed. Non-parametric tests were used to compare variables between groups. The study cohort included predominantly female patients with a mean age of 50.6 +/- 13 years and mean duration of disease of 38.8 +/- 28.4 months. Majority of patients (49%) fulfilled the morphologic and serologic domains as per the IPAF consensus criteria and 31% patients had features in all three domains. Non-specific interstitial pneumonia was the most common pattern observed in 77% patients. Raynaud's phenomenon and inflammatory arthritis were the predominant autoimmune features. Pulmonary arterial hypertension was documented in 60% of patients on echocardiography. Positive ANA at 1:320 dilution was present in all 26 patients tested, whereas extractable nuclear antigen and MSA assays detected autoantibodies in 49% and 51% of patients respectively. IPAF predominantly affected females in the age group of 50 years and above, with varied autoimmune manifestations and autoantibody profile. CI - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Hazarika, Kasturi AU - Hazarika K AUID- ORCID: 0000-0001-7579-136X AD - Department of Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, 226003, India. FAU - Sahoo, Rasmi Ranjan AU - Sahoo RR AUID- ORCID: 0000-0001-6616-4989 AD - Department of Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, 226003, India. FAU - Mohindra, Namita AU - Mohindra N AUID- ORCID: 0000-0003-3043-1218 AD - Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, 226014, India. FAU - Wakhlu, Archana AU - Wakhlu A AD - Department of Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, 226003, India. FAU - Manoj, Manesh AU - Manoj M AUID- ORCID: 0000-0002-4031-136X AD - Department of Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, 226003, India. FAU - Bafna, Prashant AU - Bafna P AUID- ORCID: 0000-0001-9424-6412 AD - Department of Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, 226003, India. FAU - Garg, Rajiv AU - Garg R AUID- ORCID: 0000-0002-5564-8037 AD - Department of Respiratory Medicine, King George's Medical University, Lucknow, 226003, India. FAU - Misra, Durga Prasanna AU - Misra DP AUID- ORCID: 0000-0002-5035-7396 AD - Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, 226014, India. FAU - Agarwal, Vikas AU - Agarwal V AUID- ORCID: 0000-0002-4508-1233 AD - Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, 226014, India. FAU - Wakhlu, Anupam AU - Wakhlu A AUID- ORCID: 0000-0003-4342-9547 AD - Department of Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, 226003, India. anupamwakhlu@gmail.com. LA - eng PT - Journal Article DEP - 20210527 PL - Germany TA - Rheumatol Int JT - Rheumatology international JID - 8206885 RN - 0 (Antibodies, Antinuclear) RN - 0 (Autoantibodies) SB - IM MH - Adult MH - Antibodies, Antinuclear MH - Autoantibodies MH - *Autoimmune Diseases/diagnostic imaging MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Lung Diseases, Interstitial/diagnostic imaging MH - Male MH - Middle Aged MH - *Myositis PMC - PMC8158082 OTO - NOTNLM OT - Autoantibodies OT - Connective tissue diseases OT - Idiopathic interstitial pneumonias OT - Interstitial lung disease EDAT- 2021/05/29 06:00 MHDA- 2022/07/20 06:00 PMCR- 2021/05/27 CRDT- 2021/05/28 07:34 PHST- 2021/03/11 00:00 [received] PHST- 2021/04/30 00:00 [accepted] PHST- 2021/05/29 06:00 [pubmed] PHST- 2022/07/20 06:00 [medline] PHST- 2021/05/28 07:34 [entrez] PHST- 2021/05/27 00:00 [pmc-release] AID - 10.1007/s00296-021-04883-7 [pii] AID - 4883 [pii] AID - 10.1007/s00296-021-04883-7 [doi] PST - ppublish SO - Rheumatol Int. 2022 Aug;42(8):1431-1441. doi: 10.1007/s00296-021-04883-7. Epub 2021 May 27.