PREVALÊNCIA E DIAGNÓSTICO DE MANIFESTAÇÕES PULMONARES NA ARTRITE REUMATOIDE

Rheumatoid arthritis (RA) is a chronic oungar disease that mainly affects the joints, but can also oungar several extra-articular manifestations, with oungar involvement being the most common. This study aimed to analyze the prevalence and types of oungar manifestations in patients with RA, in addition to describing the clinical profile of these individuals. Seventeen studies, published between 2019 and 2024, were reviewed, selected from databases such as PubMed, MEDLINE and LILACS. Interstitial lung disease (ILD) was the most common oungar manifestation, with emphasis on the patterns of usual interstitial pneumonia (UIP), nonspecific interstitial pneumonia (NSIP) and organizing pneumonia (OP). The prevalence of the UIP pattern ranged from 18.4% to 72.2% in the studies analyzed, being the pattern most associated with mortality. Other manifestations, such as bronchiectasis and bronchiolitis, have also been described, with prevalence rates ranging from 14.3% to 35.6% and 2% to 18%, respectively. Other less oungare manifestations were oungar nodules, unclassifiable oungar fibrosis, small airway disease, pleural effusion, unspecified pleural disease, methotrexate-induced pneumonitis, bronchiolitis + ILD, and other unclassifiable or undetermined. The study revealed that most patients with oungar involvement in RA were seropositive for antibodies such as ANTI-CCP and rheumatoid oung (RF). Smoking and advanced age were identified as oungare risk factors for the development of oungar complications. In conclusion, oungar manifestations in RA are common and significantly associated with morbidity and mortality. Strict clinical surveillance and personalized therapeutic strategies are essential to improve the prognosis of these patients.