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mmon and demonstrated dismal prognosis. Age at initial presentation and %DLCO were deemed as risk factors while PaO /FiO at AE was considered as a prognostic factor of the disease. RegistrationCRD42019138941. AE of systemic autoimmune disease-ILD was not uncommon and demonstrated dismal prognosis. Age at initial presentation and %DLCO were deemed as risk factors while PaO2/FiO2 at AE was considered as a prognostic factor of the disease. Registration CRD42019138941. This study is aimed to (1) investigate the influence of sagittal and ver