Diseases of the respiratory system in patients with juvenile idiopatic arthritis

Ewa Tuszkiewicz-Misztal; Jacek Postępski; Janina Zaorska-Rajca; Violetta Opoka-Winiarska; Elżbieta Czekajska-Chehab

eISSN: 2084-9834
ISSN: 0034-6233

Reumatologia/Rheumatology

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3/2005
vol. 43

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abstract:

Diseases of the respiratory system in patients with juvenile idiopatic arthritis

Ewa Tuszkiewicz-Misztal

,

Jacek Postępski

,

Janina Zaorska-Rajca

,

Violetta Opoka-Winiarska

,

Elżbieta Czekajska-Chehab

Ru 2005; 43, 3: 154–159

Online publish date: 2005/06/06

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In contrast to adult rheumatoid arthritis little is known about the prevalence, nature and cause of lung function abnormalities in children with juvenile idiopatic arthritis (JIA).
Pulmonary manifestation in children with JIA include recurrent pneumonia or pleuritis lymphoid follicular pneumonitis, pulmonary nodules and pulmonary hemosiderosis. Rheumatoid pulmonary vasculitis is rare. Pulmonary abnormal function test in some children, may be the results of respiratory muscle weakness. Pulmonary parenchymal involvement is very uncommon. The temporal relationship of the pulmonary and articular disease is variable.
Pulmonary involvement in juvenile arthritis is mainly manifested by abnormal pulmonary function tests, including mild airflow limitation decreased lung volumes and abnormal diffusion capacity have also been reported in children with JIA, even in the absence of pulmonary symptoms. Pulmonary toxicity occurs in 0.5% to 14% of patients receiving low-dose Mtx. Manifestations of pulmonary toxicity and include parenchymal inflammation, pneumonia, airway hyperreactivity, air trapping and possibility of neoplasm.

keywords:

juvenile idiopatic arthritis, respiratory diseases

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Diseases of the respiratory system in patients with juvenile idiopatic arthritis

Ewa Tuszkiewicz-Misztal , Jacek Postępski , Janina Zaorska-Rajca , Violetta Opoka-Winiarska , Elżbieta Czekajska-Chehab

juvenile idiopatic arthritis, respiratory diseases

Ewa Tuszkiewicz-Misztal

,

Jacek Postępski

,

Janina Zaorska-Rajca

,

Violetta Opoka-Winiarska

,

Elżbieta Czekajska-Chehab