Today, there are many diseases that are “masked” as acute respiratory distress syndrome. Their insufficient intravital diagnosis leads to a high percentage of mortality from these diseases. A group of autoimmune diseases that occur with simultaneous damage to the lungs and kidneys (pulmonary-renal syndrome) is available in the article. Clinical and radiological these diseases are similar to acute respiratory distress syndrome. Given the observed clinical picture of this pathology and the rate of symptom progression, patients with pulmonary-renal syndrome are hospitalized immediately in the intensive care and resuscitation department. The doctor should be wary of the patient with simultaneous damage to the lungs and kidneys and conduct differential diagnosis between autoimmune and non-immune natural pathology. Specific treatment of such patients consists of immunosuppressive therapy (glucocorticosteroids, cytostatics, monoclonal antibodies) and the appointment of plasmapheresis as indicated.

1. Диагностика и интенсивная терапия острого респираторного дистресс-синдрома / А. И. Грицан [и др.]. – Москва: Федеральные клинические рекомендации РФ, 2015. – 38 с.

2. World Federation of Societies of Anaesthesiologists (WFSA) [Electronic resource]: Acute Respiratory Distress Syndrome, 2019. – Mode of access: https://www.wfsahq.org/components/com_virtual_library/media/2ee4f27f10c91b-341754032927d178cc-atow-411-00.pdf. – Date of access: 20.01.2020.

3. Об утверждении клинического протокола ранней диагностики и интенсивной терапии острого респираторного дистресс-синдрома у пациентов с тяжелыми пневмониями вирусно-бактериальной этиологии [Электронный ресурс]: постановление Министерства здравоохранения Респ. Беларусь, 01 июн. 2017 г., № 48 // Стандарты лечения и обследования Министерства здравоохранения Респ. Беларусь. – Режим доступа: http://minzdrav.gov.by/upload/dadvfiles/001077_428487_48ords.pdf. – Дата доступа: 20.01.2020.

4. Acute respiratory distress syndrome: underrecognition by clinicians and diagnostic accuracy of three clinical definitions / N. D. Ferguson [et al.] // Critical Care Med. – 2005. – Vol. 33. – P. 2228–2234.

5. Diagnostic yield and therapeutic impact of open lung biopsy in the critically ill patient / C. Philipponnet [et al.] // Plos One. – 2018. – Vol. 13(5). – P. 12.

6. Etiologies, diagnostic work-up and outcomes of acute respiratory distress syndrome with no common risk factor: a prospective multicenter study / N. de Prost [et al.] // Ann. Intensive Care. – 2017. – Vol. 7:69. – P. 12.

7. Acute respiratory distress syndrome mimickers lacking common risk factors of the Berlin definition / A. Gibelin [et al.] // Intensive Care Med. – 2016. – Vol. 42 (2). – P. 164–172.

8. Lara, A. R. Diffuse alveolar hemorrhage / A. R. Lara, M. I. Schwarz // Chest. – 2010. – Vol. 137. – P. 1164–1171.

9. Diffuse alveolar hemorrhage / D. Panikkath [et al.] // The Southwest Respiratory and Critical Care Chronicles. – 2015. – Vol. 3 (9). – P. 19–27.

10. Martínez-Martínez, M. U. Diffuse Alveolar Hemorrhage in Autoimmune Diseases / M. U. Martínez-Martínez, D. A. Herrera-van Oostdam, C. Abud-Mendoza // Curr Rheumatol Rep. – 2017. – Vol. 19(5). – P. 7.

11. Кузьков В. В. Дифференциальная диагностика острого респираторного дистресс-синдрома: то, о чем не принято говорить [Электронный ресурс] / В. В. Кузьков // Материалы науч-практ. конф. «Острая дыхательная недостаточность, ИВЛ, ЭКМО» 09 ноября 2019 г. – Режим доступа: https://www.youtube.com/watch?v=10x5mgSK-J8&t=596s. – Дата доступа: 31.01.2020.

12. Bench-to-bedside review: Pulmonary-renal syndromes – an update for the intensivist / S. A. Papiris [et al.] // Critical Care. – 2007. – Vol. 11 (3):213. – P. 11.

13. Kimmel, M. Differential Diagnosis of the Pulmonary-Renal Syndrome / M. Kimmel, N. Braun, M. D. Alscher // An Update on Glomerulopathies – Clinical and Treatment Aspects / ed. S. S. Prabhakar. – 2011. – P. 291–298.

14. Pulmonary-renal syndromes: An update for respiratory physicians / С. McCabe [et al.] // Respiratory Medicine. – 2011. – Vol. 105. – P. 1413–1421.

15. Pulmonary-renal syndrome: a life threatening but treatable condition / S. C. West [et al.] // Postgrad Med Journal. – 2013. – Vol. 89. – P. 274–283.

16. Neki, N. S. Pulmonary Renal Syndrome: Update Article / N. S. Neki, S. Aloona // International Journal of Health Sciences & Research. – 2017. – Vol. 7 (2). – P. 294–303.

17. Association of Physician of India (API) [Electronic resource]: Pulmonary Renal Syndrome, 2017. – Mode of access: http://www.apiindia.org/pdf/medicine_update_2017/mu_041.pdf. – Date of access: 31.01.2020.

18. Woodhouse, E. L. Pulmonary-Renal Syndrome / E. L. Woodhouse, R. K. S. Phoon // Critical care nephrology / ed. C. Ronco, R. Bellomo, J. A. Kellum, Z. Ricci. – 3 edition. – 2019. – P. 764-769.

19. Алгоритмы диагностики и лечения легочных кровотечений / Ю. В. Марченков [и др.] // Общая реаниматология. – 2013. – № 9 (2). – С. 45–54.