What minimum clinical features or risk factors drive you to obtain a baseline HRCT in a patient with RA or Sjogren's disease?
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What level of risk will prompt you to obtain baseline HRCT in a patient with rheumatoid arthritis?
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2 Answers
Mednet MemberInvited Expert
Rheumatology · University of Washington
Answered on · Updated on
Overall, about 10% of RA patients will develop clinically significant ILD, as will 20% of those with SjD. Those are a significant number of people, and ILD should be on our radar as clinicians. Knowledge of risk factors for ILD can help us focus on people most likely to be affected. Several risk fac...
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Mednet MemberInvited Expert
Pulmonology · National Jewish Health
Answered on
These two clinical entities need to be treated separately as they have different risk factors. I would base my decision on the presence of risk factors if we are talking about screening for ILD. Once patients have any respiratory symptoms, you're no longer screening, and we are in a diagnostic mode,...
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