{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:16:48Z","timestamp":1787840208796,"version":"build-2784847793"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec>\n                    <jats:title>INTRODUCTION AND OBJECTIVES:<\/jats:title>\n                    <jats:p>Bronchiectasis is a pulmonary manifestation that often occurs in individuals with rheumatoid arthritis (RA). Nevertheless, the prevalence of bronchiectasis in RA patients and predictors of its development\/progression remain ill-defined. Our objective was to investigate the prevalence of bronchiectasis in a group of RA patients and examine possible clinical or biochemical risk factors that might contribute to its development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This was an observational study analyzing 100 RA patients with no pulmonary symptoms selected from King Abdulaziz University Hospital in the Western region of Saudi Arabia from October 2013 to 2014. Demographic, clinical and laboratory information were collected for all patients. Diagnosis was based on the 2010 American College of Rheumatology (ACR)\/European League Against Rheumatism (EULAR) classification system, and disease activity was assessed using the 28-Joint Disease Activity Score Index with C-reactive protein; high-resolution computed tomography chest scans were performed. The prevalence of bronchiectasis was recorded and its association with different risk factors was examined using standard statistical methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      All 100 patients fulfilled the ACR and EULAR classification criteria for RA diagnosis. Their mean age was 51.05 \u00b1 13.5 years, disease duration was 6.19 \u00b1 6.4 years and disease activity index was 4 \u00b1 1.3 (moderate activity). A total of 35 (35%) patients developed bronchiectasis. Notably, we observed significant positive associations of bronchiectasis with age, disease duration and male gender (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.028, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Asymptomatic bronchiectasis represents a common complication in moderately active RA patients within the Western Region of Saudi Arabia. Furthermore, several predictors of bronchiectasis development were identified, which can contribute to effective risk stratification in RA patients. Further prospective studies are needed to detect the prognosis of asymptomatic bronchiectasis in RA patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/1817-1737.160836","type":"journal-article","created":{"date-parts":[[2016,3,16]],"date-time":"2016-03-16T04:19:24Z","timestamp":1458101964000},"page":"176-180","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Prevalence and risk factors of asymptomatic bronchiectasis in patients with rheumatoid arthritis at a tertiary care center in Saudi Arabia"],"prefix":"10.4103","volume":"10","author":[{"given":"Suzan Mansour","family":"Attar","sequence":"first","affiliation":[{"name":"Department of Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer Saeed","family":"Alamoudi","sequence":"additional","affiliation":[{"name":"Department of Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assma Abdullah","family":"Aldabbag","sequence":"additional","affiliation":[{"name":"Department of Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250602","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1136\/ard.2008.093187","article-title":"Sensitivity and specificity of the American College of Rheumatology 1987 criteria for the diagnosis of rheumatoid arthritis according to disease duration: A systematic literature review and meta-analysis","volume":"68","author":"Banal","year":"2009","journal-title":"Ann Rheum Dis"},{"key":"R2-20250602","first-page":"995","article-title":"Anti-cyclic citrullinated peptide antibody, smoking, alcohol consumption, and disease duration as risk factors for extraarticular manifestations in Korean patients with rheumatoid arthritis","volume":"35","author":"Kim","year":"2008","journal-title":"J Rheumatol"},{"key":"R3-20250602","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1196\/annals.1313.033","article-title":"Clinical utility of the anti-CCP assay: Experiences with 700 patients","volume":"1050","author":"Sauerland","year":"2005","journal-title":"Ann N Y Acad Sci"},{"key":"R4-20250602","doi-asserted-by":"crossref","first-page":"2582","DOI":"10.1002\/art.27580","article-title":"American College of Rheumatology, European League Against Rheumatism. The 2010 American College of Rheumatology\/European League Against Rheumatism classification criteria for rheumatoid arthritis: Phase 2 methodological report","volume":"62","author":"Neogi","year":"2010","journal-title":"Arthritis Rheum"},{"key":"R5-20250602","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1164\/ajrccm.162.4.9906120","article-title":"An investigation into causative factors in patients with bronchiectasis","volume":"162","author":"Pasteur","year":"2000","journal-title":"Am J Respir Crit Care Med"},{"key":"R6-20250602","first-page":"239","article-title":"Pulmonary infections and rheumatoid arthritis","volume":"36","author":"Walker","year":"1967","journal-title":"Q J Med"},{"key":"R7-20250602","first-page":"973","article-title":"Pulmonary manifestation of rheumatoid arthritis","volume":"25","author":"Liote","year":"2008","journal-title":"Rev Mal Respir"},{"key":"R8-20250602","doi-asserted-by":"crossref","first-page":"2625","DOI":"10.1002\/art.21235","article-title":"Remission and active disease in rheumatoid arthritis: Defining criteria for disease activity states","volume":"52","author":"Aletaha","year":"2005","journal-title":"Arthritis Rheum"},{"key":"R9-20250602","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1056\/NEJMra012519","article-title":"Bronchiectasis","volume":"346","author":"Barker","year":"2002","journal-title":"N Engl J Med"},{"key":"R10-20250602","first-page":"768","article-title":"[Bronchiectasis in rheumatoid arthritis. High resolution computed pulmonary tomography]","volume":"81","author":"Kochbati","year":"2003","journal-title":"Tunis Med"},{"key":"R11-20250602","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1136\/ard.54.10.815","article-title":"Use of high resolution computed tomography of the lungs in patients with rheumatoid arthritis","volume":"54","author":"Cortet","year":"1995","journal-title":"Ann Rheum Dis"},{"key":"R12-20250602","first-page":"453","article-title":"Prospective study of the prevalence of bronchiectasis in rheumatoid arthritis using high-resolution computed tomography","volume":"65","author":"Despaux","year":"1998","journal-title":"Rev Rhum Engl Ed"},{"key":"R13-20250602","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1136\/ard.54.4.308","article-title":"High resolution computed tomography of the lung in lifelong non-smoking patients with rheumatoid arthritis","volume":"54","author":"Hassan","year":"1995","journal-title":"Ann Rheum Dis"},{"key":"R14-20250602","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1136\/thorax.57.1.15","article-title":"Bacterial colonisation in patients with bronchiectasis: Microbiological pattern and risk factors","volume":"57","author":"Angrill","year":"2002","journal-title":"Thorax"},{"key":"R15-20250602","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1186\/1471-2334-11-304","article-title":"Risk of infections in bronchiectasis during disease-modifying treatment and biologics for rheumatic diseases","volume":"11","author":"Geri","year":"2011","journal-title":"BMC Infect Dis"},{"key":"R16-20250602","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1136\/ard.2003.015123","article-title":"Association between bronchiectasis and smoking in patients with rheumatoid arthritis","volume":"63","author":"Kaushik","year":"2004","journal-title":"Ann Rheum Dis"},{"key":"R17-20250602","doi-asserted-by":"crossref","first-page":"1756","DOI":"10.1002\/art.34344","article-title":"Brief report: Airways abnormalities and rheumatoid arthritis-related autoantibodies in subjects without arthritis: Early injury or initiating site of autoimmunity?","volume":"64","author":"Demoruelle","year":"2012","journal-title":"Arthritis Rheum"},{"key":"R18-20250602","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1093\/rheumatology\/32.9.794","article-title":"HLA associations in subjects with rheumatoid arthritis and bronchiectasis but not with other pulmonary complications of rheumatoid disease","volume":"32","author":"Hillarby","year":"1993","journal-title":"Br J Rheumatol"},{"key":"R19-20250602","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1136\/ard.59.12.1001b","article-title":"Increased frequency of HLA-DRB1FNx010401 in patients with RA and bronchiectasis","volume":"59","author":"Toussirot","year":"2000","journal-title":"Ann Rheum Dis"},{"key":"R20-20250602","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1136\/ard.2006.051391","article-title":"Diagnostic and predictive value of anti-cyclic citrullinated protein antibodies in rheumatoid arthritis: A systematic literature review","volume":"65","author":"Avouac","year":"2006","journal-title":"Ann Rheum Dis"},{"key":"R21-20250602","doi-asserted-by":"crossref","first-page":"2929","DOI":"10.1002\/art.22868","article-title":"The performance of anti-cyclic citrullinated peptide antibodies in predicting the severity of radiologic damage in inflammatory polyarthritis: Results from the Norfolk Arthritis Register","volume":"56","author":"Bukhari","year":"2007","journal-title":"Arthritis Rheum"},{"key":"R22-20250602","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1136\/ard.2003.016808","article-title":"Anti-CCP antibody test predicts the disease course during 3 years in early rheumatoid arthritis (the Swedish TIRA project)","volume":"63","author":"Kastbom","year":"2004","journal-title":"Ann Rheum Dis"},{"key":"R23-20250602","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1136\/ard.2009.119933","article-title":"Efficacy and safety of different doses and retreatment of rituximab: A randomised, placebo-controlled trial in patients who are biological naive with active rheumatoid arthritis and an inadequate response to methotrexate (Study Evaluating Rituximab's Efficacy in MTX iNadequate rEsponders (SERENE))","volume":"69","author":"Emery","year":"2010","journal-title":"Ann Rheum Dis"},{"key":"R24-20250602","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1016\/j.rmed.2012.03.006","article-title":"Lung disease with anti-CCP antibodies but not rheumatoid arthritis or connective tissue disease","volume":"106","author":"Fischer","year":"2012","journal-title":"Respir Med"},{"key":"R25-20250602","doi-asserted-by":"crossref","first-page":"A71","DOI":"10.1136\/annrheumdis-2013-205124.163","article-title":"Patients with bronchiectasis, with or without rheumatoid arthritis, have an elevated anti-citrullinated peptide antibodies (ACPA) response","volume":"73","author":"Quirke","year":"2014","journal-title":"Ann Rheum Dis"},{"key":"R26-20250602","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1002\/art.21575","article-title":"A new model for an etiology of rheumatoid arthritis: Smoking may trigger HLA-DR (shared epitope)-restricted immune reactions to autoantigens modified by citrullination","volume":"54","author":"Klareskog","year":"2006","journal-title":"Arthritis Rheum"}],"container-title":["Annals of Thoracic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01284540-201510030-00004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:16:45Z","timestamp":1787836605000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01284540-201510030-00004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.4103\/1817-1737.160836","relation":{},"ISSN":["1817-1737","1998-3557"],"issn-type":[{"value":"1817-1737","type":"print"},{"value":"1998-3557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7]]},"assertion":[{"value":"2014-11-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-02-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}