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Two sides of the same coin? A review of the similarities and differences between idiopathic pulmonary fibrosis and rheumatoid arthritis associated interstitial lung disease

Scott Matson, Joyce Lee, Oliver Eickelberg
European Respiratory Journal 2020; DOI: 10.1183/13993003.02533-2020
Scott Matson
1University of Kansas School of Medicine, Division of Pulmonary and Critical Care, Kansas City, KS, USA
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  • For correspondence: smatson@kumc.edu scott.matson@cuanschutz.edu
Joyce Lee
2University of Colorado, Division of Pulmonary Sciences and Critical Care Medicine, Aurora, USA
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Oliver Eickelberg
3University of Pittsburgh Medical Center, Division of Pulmonary and Critical Care, Pittsburgh, USA
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Rheumatoid arthritis (RA) is a common disease, characterised by an erosive and inflammatory synovitis, which affects 1% of the general population [1]. Interstitial lung disease is a frequent extra-articular manifestation of RA and causes significant morbidity and mortality [2]. While ILD in RA is common, our understanding of the pathogenesis of RA-ILD is limited [3]. There have been observations that certain subtypes of RA-ILD may be clinically similar to idiopathic pulmonary fibrosis (IPF) [4], a form of progressive ILD, histologically characterised by a usual interstitial pneumonia (UIP) pattern [5]. Recent work in the genetics of RA-ILD has uncovered shared genetic risk factors between RA-ILD and IPF [6–8], further supporting a possible connection between these two conditions.

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This manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.

Conflict of interest: Dr. Matson has nothing to disclose.

Conflict of interest: Dr. Lee reports grants from NIH, grants and personal fees from Boehringer Ingelheim, personal fees from Galapagos, personal fees from Eleven P15, personal fees from Celgene, outside the submitted work;.

Conflict of interest: Dr. Eickelberg reports grants from NHLBI, during the conduct of the study; personal fees from Blade Therapeutics, personal fees from Pieris , personal fees from Boehringer Ingelheim, personal fees from Novartis, outside the submitted work;.

  • Received June 27, 2020.
  • Accepted November 8, 2020.
  • Copyright ©ERS 2020
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Two sides of the same coin? A review of the similarities and differences between idiopathic pulmonary fibrosis and rheumatoid arthritis associated interstitial lung disease
Scott Matson, Joyce Lee, Oliver Eickelberg
European Respiratory Journal Jan 2020, 2002533; DOI: 10.1183/13993003.02533-2020

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Two sides of the same coin? A review of the similarities and differences between idiopathic pulmonary fibrosis and rheumatoid arthritis associated interstitial lung disease
Scott Matson, Joyce Lee, Oliver Eickelberg
European Respiratory Journal Jan 2020, 2002533; DOI: 10.1183/13993003.02533-2020
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