PMID- 37488834 OWN - NLM STAT- MEDLINE DCOM- 20231110 LR - 20231117 IS - 2005-6648 (Electronic) IS - 1226-3303 (Print) IS - 1226-3303 (Linking) VI - 38 IP - 6 DP - 2023 Nov TI - Nailfold capillaroscopy findings of interstitial pneumonia with autoimmune features. PG - 903-911 LID - 10.3904/kjim.2022.358 [doi] AB - BACKGROUND/AIMS: We evaluated nailfold capillaroscopy (NFC) of interstitial pneumonia with autoimmune features (IPAF) and compared it with that of patients with connective tissue disease-interstitial lung disease (CTD-ILD) and idiopathic interstitial pneumonia (IIP). METHODS: Patients with newly diagnosed as ILD were evaluated using NFC. Baseline demographic, clinical, serological, and high-resolution CT findings were collected. NFC was semi-quantitatively scored with six domains ranging from 0 to 18. In addition, the overall patterns (scleroderma/non-scleroderma patterns) were determined. RESULTS: A total of 81 patients (31 with CTD-ILD, 18 with IPAF, and 32 with IIP) were included. The non-specific interstitial pneumonia pattern was the most common ILD pattern in the CTD-ILD and IPAF groups, whereas the usual interstitial pneumonia pattern was the most common in the IIP group. The semi-quantitative score of the CTD-ILD group was higher than that of the IPAF or IIP groups (5.8 vs 4.2 vs 3.0, p < 0.001, respectively). Giant capillaries and haemorrhages were more frequently present in the CTD-ILD and IPAF groups than in the IIP group. A scleroderma pattern was present in 27.8% of the IPAF group, whereas none of the IIP patients showed a scleroderma pattern. CONCLUSION: NFC findings may be useful in classifying patients with ILD into CTD-ILD/IPAF/IIP. FAU - Lee, Sang-Heon AU - Lee SH AD - Division of Rheumatology, Department of Internal Medicine, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Korea. FAU - Min, Hong Ki AU - Min HK AD - Division of Rheumatology, Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea. FAU - Kim, Se-Hee AU - Kim SH AD - Division of Rheumatology, Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea. AD - Department of Rheumatology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea. FAU - Kim, Young Whan AU - Kim YW AD - Division of Pulmonary Medicine, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. FAU - Yoo, Kwang Ha AU - Yoo KH AD - Division of Pulmonary Medicine, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. FAU - Kim, Hee Joung AU - Kim HJ AD - Division of Pulmonary Medicine, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. FAU - Kim, In Ae AU - Kim IA AD - Precision Medicine Lung Cancer Center, Konkuk University Medical Center, Seoul, Korea. FAU - Kim, Hae-Rim AU - Kim HR AD - Division of Rheumatology, Department of Internal Medicine, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Korea. LA - eng GR - Konkuk University/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230725 PL - Korea (South) TA - Korean J Intern Med JT - The Korean journal of internal medicine JID - 8712418 SB - IM MH - Humans MH - Microscopic Angioscopy MH - Tomography, X-Ray Computed MH - *Lung Diseases, Interstitial/diagnostic imaging MH - *Idiopathic Pulmonary Fibrosis MH - *Idiopathic Interstitial Pneumonias/diagnosis MH - *Connective Tissue Diseases/diagnosis/diagnostic imaging PMC - PMC10636555 OTO - NOTNLM OT - Connective tissue disease OT - Idiopathic interstitial pneumonia OT - Interstitial pneumonia with autoimmune feature OT - Nailfold capillary COIS- Conflicts of interest The authors disclose no conflicts. EDAT- 2023/07/25 06:43 MHDA- 2023/11/10 06:44 PMCR- 2023/11/01 CRDT- 2023/07/25 01:18 PHST- 2022/11/15 00:00 [received] PHST- 2023/05/18 00:00 [accepted] PHST- 2023/11/10 06:44 [medline] PHST- 2023/07/25 06:43 [pubmed] PHST- 2023/07/25 01:18 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - kjim.2022.358 [pii] AID - kjim-2022-358 [pii] AID - 10.3904/kjim.2022.358 [doi] PST - ppublish SO - Korean J Intern Med. 2023 Nov;38(6):903-911. doi: 10.3904/kjim.2022.358. Epub 2023 Jul 25.