Sjögren's syndrome CT
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Parotid gland CT scan may be helpful in the diagnosis of Sjögren's syndrome and finding include abnormal diffuse fat tissue deposition and diffuse punctate calcification.
CT
- Parotid gland CT scan may be helpful in the diagnosis of Sjögren's syndrome. Findings on CT scan suggestive of Sjögren's syndrome include:[1][2][3]
- Abnormal diffuse fat tissue deposition
- Diffuse punctate calcification
- Chest CT scan may be helpful in the diagnosis of complications of Sjögren's syndrome, which include:[4][5][6][2][7][8]
- Nonspecific interstitial pneumonia
- Patchy ground-glass attenuation
- Intralobular reticulation with a lower lobe predilection
- Interstitial pneumonia pattern
- Increased reticular markings in a basilar and peripheral distribution
- Areas of subpleural honeycombing
- lymphoid interstitial pneumonia pattern
- Nodular lymphoid hyperplasia
- Nodular or mass-like consolidation with or without air bronchogram
- Follicular bronchiolitis
- Centrilobular and peribronchial nodules
- Organizing pneumonia
- Consolidative and ground-glass opacities
- Centrilobular nodules and tree-in-bud opacities
- Pulmonary nodular amyloidosis
- Diffuse nodules
- Cystic lesions
- Focal consolidation
- Diffuse septal thickening
- Nonspecific interstitial pneumonia
References
- ↑ Sun Z, Zhang Z, Fu K, Zhao Y, Liu D, Ma X (October 2012). "Diagnostic accuracy of parotid CT for identifying Sjögren's syndrome". Eur J Radiol. 81 (10): 2702–9. doi:10.1016/j.ejrad.2011.12.034. PMID 22285605.
- ↑ 2.0 2.1 Gupta N, Wikenheiser-Brokamp KA, Fischer A, McCormack FX (March 2016). "Diffuse Cystic Lung Disease as the Presenting Manifestation of Sjögren Syndrome". Ann Am Thorac Soc. 13 (3): 371–5. doi:10.1513/AnnalsATS.201511-759BC. PMC 5461998. PMID 26741500.
- ↑ Matsuyama N, Ashizawa K, Okimoto T, Kadota J, Amano H, Hayashi K (December 2003). "Pulmonary lesions associated with Sjögren's syndrome: radiographic and CT findings". Br J Radiol. 76 (912): 880–4. doi:10.1259/bjr/18937619. PMID 14711775.
- ↑ Song MK, Seol YM, Park YE, Kim YS, Lee MK, Lee CH, Jeong YJ (September 2007). "Pulmonary nodular lymphoid hyperplasia associated with Sjögren's syndrome". Korean J. Intern. Med. 22 (3): 192–6. PMC 2687695. PMID 17939337.
- ↑ Kokosi M, Riemer EC, Highland KB (September 2010). "Pulmonary involvement in Sjögren syndrome". Clin. Chest Med. 31 (3): 489–500. doi:10.1016/j.ccm.2010.05.007. PMID 20692541.
- ↑ Panchabhai TS, Farver C, Highland KB (September 2016). "Lymphocytic Interstitial Pneumonia". Clin. Chest Med. 37 (3): 463–74. doi:10.1016/j.ccm.2016.04.009. PMID 27514593.
- ↑ Taouli B, Brauner MW, Mourey I, Lemouchi D, Grenier PA (June 2002). "Thin-section chest CT findings of primary Sjögren's syndrome: correlation with pulmonary function". Eur Radiol. 12 (6): 1504–11. doi:10.1007/s00330-001-1236-7. PMID 12042961.
- ↑ Uffmann M, Kiener HP, Bankier AA, Baldt MM, Zontsich T, Herold CJ (October 2001). "Lung manifestation in asymptomatic patients with primary Sjögren syndrome: assessment with high resolution CT and pulmonary function tests". J Thorac Imaging. 16 (4): 282–9. PMID 11685093.