类风湿关节炎(RA)是以慢性关节炎为特征的自身免疫性疾病,常累及肺脏引起RA相关间质性肺疾病(ILD)。RA相关性ILD多发生于RA之后,发生在RA之前者较少见,且易误诊。本文报道1例发生在RA之前的ILD,误诊为特发性间质性肺炎长达5年。
                                 
                                    
                                  
                       
                           Citation:
                           徐秋芬,朱光发,张颖. 以间质性肺疾病为首发表现的类风湿关节炎一例报道. Chinese Journal of Respiratory and Critical Care Medicine, 2007, 6(2): 136-136. doi: 
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				                                                                | 1. | 中华医学会风湿病学分会.类风湿关节炎诊治指南(草案).中华风湿病学杂志,2003,7:250-254. | 
				                                                        
				                                                            
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				                                                                | 3. | 宋淑菊,段婷.类风湿关节炎肺间质病变的研究进展.临床内科杂志,2005,9:646-648. | 
				                                                        
				                                                            
				                                                                | 4. | Kim EA,Lee KS,Johkoh T,et al.Interstitial lung diseases associated with collagen vascular diseases:radiologic and histopathologic findings.Radiographics,2002,22:S151-S165. | 
				                                                        
				                                                    
				                                                 
				                                             
				                                            
                             
                            
                                
                               		 
		                                
		                                    - 1.   中华医学会风湿病学分会.类风湿关节炎诊治指南(草案).中华风湿病学杂志,2003,7:250-254.		                                    
		                                    
- 2.   King TE Jr.Connective tissue disease.In:Schwarz MI,King TE Jr,eds.Interstitial lung disease.3rd ed.Hamilton,ON,Canada:BC Decker,1998,451-505.		                                    
		                                    
- 3.   宋淑菊,段婷.类风湿关节炎肺间质病变的研究进展.临床内科杂志,2005,9:646-648.		                                    
		                                    
- 4.   Kim EA,Lee KS,Johkoh T,et al.Interstitial lung diseases associated with collagen vascular diseases:radiologic and histopathologic findings.Radiographics,2002,22:S151-S165.