ИНТЕРСТИЦИАЛЬНАЯ ПНЕВМОНИЯ С АУТОИММУННЫМИ ПРОЯВЛЕНИЯМИ: СОВМЕСТНЫЙ КОНСЕНСУС ЕВРОПЕЙСКОГО РЕСПИРАТОРНОГО И АМЕРИКАНСКОГО ТОРАКАЛЬНОГО ОБЩЕСТВ
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Аннотация
У многих больных идиопатической интерстициальной пневмонией имеются клинические проявления аутоиммунного заболевания, не соответствующие критериям заболевания соединительной ткани (ЗСТ). Для характеристики таких больных предлагаются различные термины и критерии, а отсутствие единого мнения о терминологии и классификации подобных ситуаций не позволяет выполнять проспективные исследования сопоставимых групп больных. Для выработки консенсуса о терминологии и классификации этих случаев Европейским респираторным и Американским торакальным обществами создана Рабочая группа по недифференцированным формам ЗСТ, сопровождающихся интерстициальными заболеваниями легких, специалистами которой предложено ввести термин «интерстициальная пневмония с аутоиммунными проявлениями» (ИПАП) и диагностические критерии, основанные на сочетании 3 групп признаков: клинических (специфические экстраторакальные симптомы), серологических (специфические аутоантитела) и морфологических (специфические проявления при визуализационных, гистологических исследованиях или исследовании физиологии дыхания). По решению экспертов термин «ИПАП» должен применяться к больным интерстициальными пневмониями и симптомами, позволяющими заподозрить ЗСТ, но не подтверждающими его. Введение нового термина позволит в будущем вовлекать в исследования более однородные когорты больных.
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Рецензия
Для цитирования:
ИНТЕРСТИЦИАЛЬНАЯ ПНЕВМОНИЯ С АУТОИММУННЫМИ ПРОЯВЛЕНИЯМИ: СОВМЕСТНЫЙ КОНСЕНСУС ЕВРОПЕЙСКОГО РЕСПИРАТОРНОГО И АМЕРИКАНСКОГО ТОРАКАЛЬНОГО ОБЩЕСТВ. Пульмонология. 2016;26(5):529-538.
For citation:
INTERSTITIAL PNEUMONIAE WITH AUTOIMMUNE MANIFESTATIONS. JOINT CONSENSUS OF THE ERS/ATS. PULMONOLOGIYA. 2016;26(5):529-538. (In Russ.)
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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)
ISSN 2541-9617 (Online)
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