Cyclophosphamide for the treatment of Acute Exacerbation of Interstitial Lung Disease: A Review of the Literature.

Cyclophosphamide for the treatment of Acute Exacerbation of Interstitial Lung Disease: A Review of the Literature.
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DOI:
10.36141/svdld.v38i1.11271
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发表时间:
2021
期刊:
Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG
影响因子:
--
通讯作者:
Patel DC
Patel DC
中科院分区:
其他
文献类型:
--
作者:
Innabi A;Gomez-Manjarres D;Alzghoul BN;Chizinga M;Mehrad B;Patel DC

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间质性肺疾病急性加重是一种严重的危及生命的事件,但对其治疗知之甚少。在随机临床试验中,环磷酰胺已被提议作为进行性系统性硬化症相关间质性肺疾病的治疗选择。然而,在间质性肺疾病的急性加重中,我们只发现了小病例系列和回顾性研究,大多数没有描述环磷酰胺作用的比较组。这些研究的结果显示了不同的结果,没有强有力的证据表明环磷酰胺在治疗间质性肺疾病急性加重方面有任何益处。需要更多精心设计的研究,包括随机临床试验,以更好地了解环磷酰胺在间质性肺疾病加重中的作用。在这篇综述文章中,我们总结了目前在间质性肺疾病中使用环磷酰胺的证据,重点是急性加重事件。
Acute exacerbation of interstitial lung disease is a serious and life-threatening event but little is known about its treatment. Cyclophosphamide has been proposed in randomized clinic trials as a treatment option in progressive cases of systemic sclerosis related interstitial lung disease. However, in acute exacerbation of interstitial lung disease, we found only small case series, and retrospective studies, mostly with no comparative groups which described the role of cyclophosphamide. Results of these studies showed mixed outcomes, with no robust evidence that cyclophosphamide adds any benefit in treating acute exacerbations of interstitial lung disease. More well-designed studies including randomized clinical trials are needed to better understand the role of cyclophosphamide during exacerbations of interstitial lung disease. In this review article, we summarize the current evidence on the use of cyclophosphamide in interstitial lung disease with a focus on the acute exacerbation events.
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