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Article

CT Patterns of Interstitial Lung Disease in Patients with Plaque Psoriasis: A Retrospective Case Series Study

1
Department of Clinical and Molecular Sciences, Dermatology Clinic, Polytechnic Marche University, 60121 Ancona, Italy
2
Radiologia AST Pesaro Urbino, 611121 Pesaro, Italy
3
Department of Radiological Sciences, Azienda Ospedaliero Universitaria Ospedali Riuniti, Università Politecnica delle Marche, 60121 Ancona, Italy
4
U.O.S.D. Radiologia Ospedale “San Liberatore” Atri-Dipartimento dei Servizi-ASL Teramo, 64032 Teramo, Italy
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Medicina 2023, 59(9), 1650; https://doi.org/10.3390/medicina59091650
Submission received: 3 July 2023 / Revised: 25 August 2023 / Accepted: 6 September 2023 / Published: 12 September 2023
(This article belongs to the Section Pulmonology)

Abstract

Background and Objectives: Recently published articles reported an association between psoriasis and interstitial lung diseases (ILDs). The aim of this study is to evaluate the differences in ILD computed tomography (CT) patterns between smoker and never smoker plaque psoriasis (PP) patients under topical treatment without psoriatic arthritis (PA), inflammatory bowel disease (IBD) or connective tissue diseases (CTDs). Matherials and Methods: Two radiologists evaluated chest CT examinations of 65 patients (33 smokers, 32 never smokers) with PP. Results: Usual interstitial pneumonia (UIP) pattern was diagnosed in 36 patients, nonspecific interstitial pneumonia pattern in 19, hypersensitivity pneumonitis in 7 and pleuropulmonary fibroelastosis (PPFE) in 3 patients. UIP pattern showed a statistically significant higher frequency in smoker patients (p = 0.0351). Respiratory symptoms were reported in 80% of patients. Conclusions: ILDs seems to represent a new comorbidity associated with psoriasis. Moreover, a statistically significant association between smokers and UIP pattern in PP patients is found. Respiratory symptoms should be evaluated in PP patients, in collaboration with a radiologist and a pneumologist. However, further studies are required to better understand the epidemiology of ILDs in PP patients.
Keywords: plaque psoriasis; interstitial lung disease; radiology; computed tomography plaque psoriasis; interstitial lung disease; radiology; computed tomography
Graphical Abstract

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MDPI and ACS Style

Rizzetto, G.; Tagliati, C.; Fogante, M.; Marcucci, M.; Argalia, G.; Lanni, G.; Rebonato, A.; Giuseppetti, G.M.; Esposito, R.; Molinelli, E.; et al. CT Patterns of Interstitial Lung Disease in Patients with Plaque Psoriasis: A Retrospective Case Series Study. Medicina 2023, 59, 1650. https://doi.org/10.3390/medicina59091650

AMA Style

Rizzetto G, Tagliati C, Fogante M, Marcucci M, Argalia G, Lanni G, Rebonato A, Giuseppetti GM, Esposito R, Molinelli E, et al. CT Patterns of Interstitial Lung Disease in Patients with Plaque Psoriasis: A Retrospective Case Series Study. Medicina. 2023; 59(9):1650. https://doi.org/10.3390/medicina59091650

Chicago/Turabian Style

Rizzetto, Giulio, Corrado Tagliati, Marco Fogante, Matteo Marcucci, Giulio Argalia, Giuseppe Lanni, Alberto Rebonato, Gian Marco Giuseppetti, Roberto Esposito, Elisa Molinelli, and et al. 2023. "CT Patterns of Interstitial Lung Disease in Patients with Plaque Psoriasis: A Retrospective Case Series Study" Medicina 59, no. 9: 1650. https://doi.org/10.3390/medicina59091650

APA Style

Rizzetto, G., Tagliati, C., Fogante, M., Marcucci, M., Argalia, G., Lanni, G., Rebonato, A., Giuseppetti, G. M., Esposito, R., Molinelli, E., De Simoni, E., Offidani, A., & Simonetti, O. (2023). CT Patterns of Interstitial Lung Disease in Patients with Plaque Psoriasis: A Retrospective Case Series Study. Medicina, 59(9), 1650. https://doi.org/10.3390/medicina59091650

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