Systemic lupus erythematosus x ray: Difference between revisions
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{{Systemic lupus erythematosus}} | {{Systemic lupus erythematosus}} | ||
{{CMG}} | {{CMG}} {{AE}} {{MIR}} | ||
==Overview== | ==Overview== | ||
On X-ray imaging, systemic lupus erythematosus (SLE) may be characterized by different features regarding the present complication. The most common characteristic findings of SLE in X-ray include | On X-ray imaging, systemic lupus erythematosus (SLE) may be characterized by different features regarding the present complication. The most common characteristic findings of SLE in X-ray include [[Thumbprinting|thumb printing sign]] in the abdominal X ray, blunting of the [[costophrenic angle]] due to [[pleural effusion]], [[cardiomegaly]], [[hepatomegaly]], [[Osteoporosis|osteoprosis]], tenosinovitis, and other manifestations based on the complications. | ||
==X Ray== | ==X Ray== | ||
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** [[Thumbprinting|Thumbprinting sign]] | ** [[Thumbprinting|Thumbprinting sign]] | ||
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[[File: | [[File:Thumbpronting.gif|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]] | ||
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| rowspan="4" style="background: #DCDCDC; " |<small><small>[[Pulmonary|Pulmonary involvement]]</small></small> | | rowspan="4" style="background: #DCDCDC; " |<small><small>[[Pulmonary|Pulmonary involvement]]</small></small> | ||
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** [[Mediastinal]] shifts with large amounts of fluid | ** [[Mediastinal]] shifts with large amounts of fluid | ||
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[[File:Pleural effusion | [[File:Pleural effusion.gif|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]] | ||
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![[Pulmonary fibrosis]] | ![[Pulmonary fibrosis]] | ||
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* Tracheomegaly | * Tracheomegaly | ||
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[[File: | [[File:Pulmonary fibrosis.gif|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]] | ||
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![[Pulmonary hypertension]] | ![[Pulmonary hypertension]] | ||
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* Enlarged [[pulmonary arteries]] | * Enlarged [[pulmonary arteries]] | ||
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[[File: | [[File:PHTN.gif|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]] | ||
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![[Pneumonitis|Acute pneumonitis]] | ![[Pneumonitis|Acute pneumonitis]] | ||
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*[[Bilateral]] patchy airspace opacification | *[[Bilateral]] patchy airspace opacification | ||
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| rowspan="2" style="background: #DCDCDC; " |<small><small>[[Cardiac|Cardiac involvement]]</small></small> | | rowspan="2" style="background: #DCDCDC; " |<small><small>[[Cardiac|Cardiac involvement]]</small></small> | ||
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*[[Hallux valgus]] | *[[Hallux valgus]] | ||
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![[Osteoporosis]] | ![[Osteoporosis]] | ||
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**[[Periosteal reaction]] progressing to callus formation in diaphyseal fractures | **[[Periosteal reaction]] progressing to callus formation in diaphyseal fractures | ||
**Linear [[sclerosis]] and cortical thickening more frequent in [[metaphyseal]] and [[epiphyseal]] [[fractures]] | **Linear [[sclerosis]] and cortical thickening more frequent in [[metaphyseal]] and [[epiphyseal]] [[fractures]] | ||
*Decrease | |||
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*Upright [[chest]] radiographs for [[perforation]] evaluating | *Upright [[chest]] radiographs for [[perforation]] evaluating | ||
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![[Autosplenectomy]] | ![[Autosplenectomy]] | ||
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* Medially displaced bowel loops | * Medially displaced bowel loops | ||
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| rowspan="4" style="background: #DCDCDC; " |<small><small>[[Pulmonary]] involvement</small></small> | | rowspan="4" style="background: #DCDCDC; " |<small><small>[[Pulmonary]] involvement</small></small> | ||
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*Linear [[atelectasis]] and an ill-defined juxtadiaphragmatic areas of increased opacity | *Linear [[atelectasis]] and an ill-defined juxtadiaphragmatic areas of increased opacity | ||
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![[Pulmonary hemorrhage]] | ![[Pulmonary hemorrhage]] | ||
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*Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs | *Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs | ||
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![[Pulmonary emboli]] | ![[Pulmonary emboli]] | ||
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*[[Pleural effusion]] | *[[Pleural effusion]] | ||
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!Shrinking lung syndrome | !Shrinking lung syndrome | ||
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*Left [[ventricular]] enlargement is also eventually present due to volume overload | *Left [[ventricular]] enlargement is also eventually present due to volume overload | ||
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![[Pericardial effusion]] | ![[Pericardial effusion]] | ||
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*Globular enlargement of the cardiac shadow giving a water bottle configuration | *Globular enlargement of the cardiac shadow giving a water bottle configuration | ||
*Anteroposterior [[CXR]]: | |||
**Enlarged cardiac silhouette | |||
*Lateral [[CXR]]: | *Lateral [[CXR]]: | ||
**Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind [[sternum]] ([[Epicardial fat pad|epicardial fat]]) anteriorly | **Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind [[sternum]] ([[Epicardial fat pad|epicardial fat]]) anteriorly | ||
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| style="background: #DCDCDC; " |<small><small>[[Musculoskeletal system|Musculoskeletal involvement]]</small></small> | | style="background: #DCDCDC; " |<small><small>[[Musculoskeletal system|Musculoskeletal involvement]]</small></small> | ||
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*Crescent sign of [[AVN]] | *Crescent sign of [[AVN]] | ||
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Latest revision as of 16:19, 1 February 2018
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Systemic lupus erythematosus Microchapters |
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Differentiating Systemic lupus erythematosus from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Systemic lupus erythematosus x ray On the Web |
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American Roentgen Ray Society Images of Systemic lupus erythematosus x ray |
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Directions to Hospitals Treating Systemic lupus erythematosus |
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Risk calculators and risk factors for Systemic lupus erythematosus x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]
Overview
On X-ray imaging, systemic lupus erythematosus (SLE) may be characterized by different features regarding the present complication. The most common characteristic findings of SLE in X-ray include thumb printing sign in the abdominal X ray, blunting of the costophrenic angle due to pleural effusion, cardiomegaly, hepatomegaly, osteoprosis, tenosinovitis, and other manifestations based on the complications.
X Ray
Findings on an X ray imaging for systemic lupus erythematosus (SLE) depends on the organ system involvement and may include the following features.[1][2][3][4][5][6][7][8][9][10][11][12]
More common findings
| Organ | Disease | Description | Preview |
|---|---|---|---|
| Gastrointestinal system | Enteritis |
|
 |
| Pulmonary involvement | Pleural effusion |
|
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| Pulmonary fibrosis |
|
 | |
| Pulmonary hypertension |
|
 | |
| Acute pneumonitis |
|
.gif) | |
| Cardiac involvement | Cardiomegaly |
 | |
| Mitral stenosis |
| ||
| Musculoskeletal involvement | Arthritis |
|
.gif) |
| Osteoporosis |
|
.gif) |
Less common findings
| Organ | Disease | Description | Preview |
|---|---|---|---|
| Gastrointestinal system | Intestinal pseudo-obstruction |
|
.gif) |
| Autosplenectomy |
|
||
| Hepatomegaly |
|
.gif) | |
| Pulmonary involvement | Respiratory muscle dysfunction |
|
.gif) |
| Pulmonary hemorrhage |
|
.gif) | |
| Pulmonary emboli |
|
.gif) | |
| Shrinking lung syndrome |
|
||
| Cardiac involvement | Mitral regurgitation |
|
.gif) |
| Pericardial effusion |
|
.gif) | |
| Musculoskeletal involvement | Osteonecrosis (Avascular necrosis) |
|
.gif) |
References
- ↑ Appenzeller S (2013). "Magnetic resonance imaging in systemic lupus erythematosus: where do we stand?". Cogn Behav Neurol. 26 (2): 53–4. doi:10.1097/WNN.0b013e31829d5b60. PMID 23812167.
- ↑ Thurman JM, Serkova NJ (2015). "Non-invasive imaging to monitor lupus nephritis and neuropsychiatric systemic lupus erythematosus". F1000Res. 4: 153. doi:10.12688/f1000research.6587.2. PMC 4536614. PMID 26309728.
- ↑ Lin K, Lloyd-Jones DM, Li D, Liu Y, Yang J, Markl M, Carr JC (2015). "Imaging of cardiovascular complications in patients with systemic lupus erythematosus". Lupus. 24 (11): 1126–34. doi:10.1177/0961203315588577. PMC 4567427. PMID 26038342.
- ↑ Sarbu N, Bargalló N, Cervera R (2015). "Advanced and Conventional Magnetic Resonance Imaging in Neuropsychiatric Lupus". F1000Res. 4: 162. doi:10.12688/f1000research.6522.2. PMC 4505788. PMID 26236469.
- ↑ Qin H, Guo Q, Shen N, Huang X, Wu H, Zhang M, Bao C, Chen S (2014). "Chest imaging manifestations in lupus nephritis". Clin. Rheumatol. 33 (6): 817–23. doi:10.1007/s10067-014-2586-2. PMID 24696368.
- ↑ Goh YP, Naidoo P, Ngian GS (2013). "Imaging of systemic lupus erythematosus. Part II: gastrointestinal, renal, and musculoskeletal manifestations". Clin Radiol. 68 (2): 192–202. doi:10.1016/j.crad.2012.06.109. PMID 22901453.
- ↑ Gal Y, Twig G, Mozes O, Greenberg G, Hoffmann C, Shoenfeld Y (2013). "Central nervous system involvement in systemic lupus erythematosus: an imaging challenge". Isr. Med. Assoc. J. 15 (7): 382–6. PMID 23943987.
- ↑ Shirato M, Hisa N, Fujikura Y, Ohkuma K, Kutsuki S, Hiramatsu K (1992). "[Imaging diagnosis of lupus enteritis--especially about sonographic findings]". Nihon Igaku Hoshasen Gakkai Zasshi (in Japanese). 52 (10): 1394–9. PMID 1448334.
- ↑ Adachi JD, Lau A (2014). "Systemic lupus erythematosus, osteoporosis, and fractures". J. Rheumatol. 41 (10): 1913–5. doi:10.3899/jrheum.140919. PMID 25275093.
- ↑ Curiel R, Akin EA, Beaulieu G, DePalma L, Hashefi M (2011). "PET/CT imaging in systemic lupus erythematosus". Ann. N. Y. Acad. Sci. 1228: 71–80. doi:10.1111/j.1749-6632.2011.06076.x. PMID 21718325.
- ↑ Goh YP, Naidoo P, Ngian GS (2013). "Imaging of systemic lupus erythematosus. Part I: CNS, cardiovascular, and thoracic manifestations". Clin Radiol. 68 (2): 181–91. doi:10.1016/j.crad.2012.06.110. PMID 22901452.
- ↑ Rockall AG, Rickards D, Shaw PJ (2001). "Imaging of the pulmonary manifestations of systemic disease". Postgrad Med J. 77 (912): 621–38. PMC 1742125. PMID 11571369.