Long-term deterioration of interstitial lung disease in patients with rheumatoid arthritis treated with abatacept.

Abstract:

OBJECTIVE:To examine the deterioration of interstitial lung disease (ILD) in patients with rheumatoid arthritis (RA) treated with abatacept over the long-term. METHODS:We examined 131 patients with RA who had been treated with abatacept for more than 1 year. All patients underwent high-resolution computed tomographic (HRCT) scanning of the chest before administration of abatacept, and we examined deterioration of ILD over a follow-up period after administration of abatacept was initiated. RESULTS:Eleven patients (8.4%) showed deterioration of ILD over a mean follow-up period of 47.8 months. The factors related to ILD deterioration were use of methotrexate (MTX) [odds ratio 12.75, 95% confidence interval (CI) 1.09-148.77], and change in Krebs von-den Lungen-6 (odds ratio 1.00, 95% CI 1.00-1.01), according to multivariate logistic regression analysis. CONCLUSION:MTX in patients with RA treated with abatacept was a risk factor for deterioration of ILD. Discontinuation of MTX should be considered one of treatment reduction to prevent the deterioration of ILD.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Mochizuki T,Ikari K,Yano K,Sato M,Okazaki K

doi

10.1080/14397595.2018.1481566

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

413-417

issue

3

eissn

1439-7595

issn

1439-7609

journal_volume

29

pub_type

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