ILD Risk Elevated in RA, PsA After Starting DMARDs

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ILD Risk Elevated in RA, PsA After Starting DMARDs
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Patients with PsA who are using biologic and targeted synthetic disease-modifying antirheumatic drugs have fivefold higher risk for interstitial lung disease than does the general population.

June 01, 2023

Explaining the motivation for the study, Dr. Aarrestad Provan said that, in RA, methotrexate's role in ILD development remained unclear, while some small studies linked b/tsDMARDs with risk for ILD."In PsA, very few studies have explored the risk of ILD, and no systematic studies have looked at ILD risk factors in this disease."

The incidence of ILD within 5 years of starting a b/tsDMARD was 0.8% in patients with RA, 0.2% with PsA, and 0.1% in the general population, and these findings generated hazard ratios of 10.1 for RA and 5.0 for PsA, compared with the general population as reference.

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