Volume 14 Supplement 1

Proceedings of the 8th Global Arthritis Research Network (GARN) Meeting and 1st Bio-Rheumatology International Congress (BRIC)

Open Access

Prevalence of interstitial lung disease among patients with systemic sclerosis in Iraqi Kurdistan

  • Taha Ahmad Qaradakhy1,
  • Kosar Mohamed Ali2 and
  • Omer Hama Karim1
Arthritis Research & Therapy201214(Suppl 1):P13

DOI: 10.1186/ar3614

Published: 29 February 2012

Background

Systemic sclerosis (SSc) associated interstitial lung disease (ILD) is the leading cause of morbidity and mortality in SSc patients.

Aim of the study

To detect and determine the prevalence of ILD in patients with SSc in Sulaimani Governorate.

Patients and methods

A sample of thirty patients with SSc (whom fulfilled the American Rheumatism Association preliminary criteria for the diagnosis of SSc), were collected from Sulaimani internal Medicine teaching hospital from July 2009 to July 2010.

All patients were evaluated in a cross sectional study for the evidence of ILD, almost all patients were submitted to chest radiographs (CXR), pulmonary function tests (PFT) and oxygen saturation by pulse oximetry (Spo2) and high-resolution computed tomography (HRCT) scan.

Results

Patients ages ranged from 23-68 years with mean (45.57) years, with female predominance 27(90%) compare to 3(10%) male.

Majority of patients had limited type of systemic sclerosis 21(70%), and 15(50%) cases had restirictive ventilatory defect. Out of the thirty patients in the study 16(53.3%) patients had evidence of ILD on HRCT.

Conclusion

1. ILD is common among patients with SSc (dcSSc type).

2. PFT & HRCT are sensitive tools for diagnosis ILD among patients with SSc.
Table 1

Results of pulse oximetry both during rest and exertion, chest x-ray finding, pulmonary function test

 

Frequency

Percent

O 2 Saturation (rest)

  

Above 92

20

66.7

Below 92

10

33.3

O 2 Saturation (exertion)

  

Above 92

13

43.3

Below 92

17

56.7

CXR

  

Normal

19

63.3

Basal reticular shadowing

11

36.7

Pulmonary function test

  

Normal

15

50.0

Restrictive

15

50.0

Obstructive

0

00.0

Table 2

Distribution of HRCT scans abnormalities

Variables

Frequency

Percent

CT chest

  

Normal

14

46.7

Abnormal

16

53.3

Fibrosis

  

No

19

63.3

Yes

11

36.7

Traction bronchiactetic changes

  

No

19

63.3

Yes

11

36.7

Ground glass

  

No

22

73.3

Yes

8

26.7

Honey comb

  

No

26

86.7

Yes

4

13.3

https://static-content.springer.com/image/art%3A10.1186%2Far3614/MediaObjects/13075_2012_Article_3361_Fig1_HTML.jpg
Figure 1

Subsets of Systemic sclerosis.

Authors’ Affiliations

(1)
Department of Rheumatology, Sulaimani Internal Medicine Teaching Hospital
(2)
Respiratory/General Medical Department, College of Medicine

Copyright

© Qaradakhy et al.; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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