Mixed connective tissue disease x ray: Difference between revisions
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==Overview== | ==Overview== | ||
An [[X-rays|x-ray]] may be helpful in the diagnosis of [[Complication (medicine)|complications]] of mixed connective tissue disease, which include [[polyarthritis]] ([[soft tissue]] [[atrophy]], [[Calcification|calcifications]], distal [[interphalangeal]] joint erosions, juxta-articular [[osteoporosis]], joint space narrowing, marginal erosions, joint [[Deformity|deformities]] without erosions, and [[osteonecrosis]]) and [[ | An [[X-rays|x-ray]] may be helpful in the diagnosis of [[Complication (medicine)|complications]] of mixed connective tissue disease, which include features characteristic of [[polyarthritis]] ([[soft tissue]] [[atrophy]], [[Calcification|calcifications]], distal [[interphalangeal]] joint erosions, juxta-articular [[osteoporosis]], joint space narrowing, marginal erosions, joint [[Deformity|deformities]] without erosions, and [[osteonecrosis]]) and [[interstitial lung disease]] (ground−glass opacities, peripheral reticular infiltrates, and small irregular opacities). | ||
==X Ray== | ==X Ray== | ||
An [[X-rays|x-ray]] may be helpful in the diagnosis of [[Complication (medicine)|complications]] of mixed connective tissue disease, which include:<ref name="pmid23354165">{{cite journal |vauthors=Abdel-Magied RA, Lotfi A, AbdelGawad EA |title=Magnetic resonance imaging versus musculoskeletal ultrasonography in detecting inflammatory arthropathy in systemic sclerosis patients with hand arthralgia |journal=Rheumatol. Int. |volume=33 |issue=8 |pages=1961–6 |date=August 2013 |pmid=23354165 |pmc=3719002 |doi=10.1007/s00296-013-2665-8 |url=}}</ref><ref name="pmid23125954">{{cite journal |vauthors=Gutsche M, Rosen GD, Swigris JJ |title=Connective Tissue Disease-associated Interstitial Lung Disease: A review |journal=Curr Respir Care Rep |volume=1 |issue= |pages=224–232 |date=September 2012 |pmid=23125954 |pmc=3486427 |doi=10.1007/s13665-012-0028-7 |url=}}</ref><ref name="pmid15716315">{{cite journal |vauthors=Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G |title=Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD) |journal=Rheumatology (Oxford) |volume=44 |issue=5 |pages=656–61 |date=May 2005 |pmid=15716315 |doi=10.1093/rheumatology/keh575 |url=}}</ref> | An [[X-rays|x-ray]] may be helpful in the diagnosis of [[Complication (medicine)|complications]] of mixed connective tissue disease, which include:<ref name="pmid23354165">{{cite journal |vauthors=Abdel-Magied RA, Lotfi A, AbdelGawad EA |title=Magnetic resonance imaging versus musculoskeletal ultrasonography in detecting inflammatory arthropathy in systemic sclerosis patients with hand arthralgia |journal=Rheumatol. Int. |volume=33 |issue=8 |pages=1961–6 |date=August 2013 |pmid=23354165 |pmc=3719002 |doi=10.1007/s00296-013-2665-8 |url=}}</ref><ref name="pmid23125954">{{cite journal |vauthors=Gutsche M, Rosen GD, Swigris JJ |title=Connective Tissue Disease-associated Interstitial Lung Disease: A review |journal=Curr Respir Care Rep |volume=1 |issue= |pages=224–232 |date=September 2012 |pmid=23125954 |pmc=3486427 |doi=10.1007/s13665-012-0028-7 |url=}}</ref><ref name="pmid15716315">{{cite journal |vauthors=Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G |title=Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD) |journal=Rheumatology (Oxford) |volume=44 |issue=5 |pages=656–61 |date=May 2005 |pmid=15716315 |doi=10.1093/rheumatology/keh575 |url=}}</ref> | ||
*'''[[Polyarthritis]]''' | *'''[[Polyarthritis]]''' | ||
**Features characteristic of [[systemic sclerosis]] | **Features characteristic of arthrits in [[systemic sclerosis]]: | ||
***[[soft tissue]] [[atrophy]] | |||
***[[Calcification|Calcifications]] | |||
***Distal [[interphalangeal]] joint erosions | |||
**Features characteristic of arthritis in [[rheumatoid arthritis]]: | |||
***Juxta-articular [[osteoporosis]] | |||
***Joint space narrowing | |||
***Marginal erosions | |||
**Features characteristic of arthritis in [[systemic lupus erythematosus]]: | |||
***Joint [[Deformity|deformities]] without erosions | |||
***[[osteonecrosis]] | |||
*'''[[Interstitial lung disease]]''' | *'''[[Interstitial lung disease]]''' | ||
**Ground−glass opacities | **Ground−glass opacities | ||
**Peripheral reticular infiltrates | **Peripheral reticular infiltrates | ||
**Small irregular opacities (predominantly in the bases and middle regions) | **Small irregular opacities (predominantly in the bases and middle regions) | ||
[[image:Mixed-connective-tissue-disease-1.jpg|300px|center|thumb|[[Polyarthritis]] in mixed connective tissue disease | [[image:Mixed-connective-tissue-disease-1.jpg|300px|center|thumb|[[Polyarthritis]] in mixed connective tissue disease - advanced [[osteoarthritis]] with joint space narrowing, [[subcutaneous]] [[Calcification|calcifications]], erosions and [[Deformity|deformities]] of the PIP and DIP joints. https://radiopaedia.org/cases/mixed-connective-tissue-disease-1]] | ||
==References== | ==References== |
Latest revision as of 15:16, 7 May 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
An x-ray may be helpful in the diagnosis of complications of mixed connective tissue disease, which include features characteristic of polyarthritis (soft tissue atrophy, calcifications, distal interphalangeal joint erosions, juxta-articular osteoporosis, joint space narrowing, marginal erosions, joint deformities without erosions, and osteonecrosis) and interstitial lung disease (ground−glass opacities, peripheral reticular infiltrates, and small irregular opacities).
X Ray
An x-ray may be helpful in the diagnosis of complications of mixed connective tissue disease, which include:[1][2][3]
- Polyarthritis
- Features characteristic of arthrits in systemic sclerosis:
- soft tissue atrophy
- Calcifications
- Distal interphalangeal joint erosions
- Features characteristic of arthritis in rheumatoid arthritis:
- Juxta-articular osteoporosis
- Joint space narrowing
- Marginal erosions
- Features characteristic of arthritis in systemic lupus erythematosus:
- Joint deformities without erosions
- osteonecrosis
- Features characteristic of arthrits in systemic sclerosis:
- Interstitial lung disease
- Ground−glass opacities
- Peripheral reticular infiltrates
- Small irregular opacities (predominantly in the bases and middle regions)
References
- ↑ Abdel-Magied RA, Lotfi A, AbdelGawad EA (August 2013). "Magnetic resonance imaging versus musculoskeletal ultrasonography in detecting inflammatory arthropathy in systemic sclerosis patients with hand arthralgia". Rheumatol. Int. 33 (8): 1961–6. doi:10.1007/s00296-013-2665-8. PMC 3719002. PMID 23354165.
- ↑ Gutsche M, Rosen GD, Swigris JJ (September 2012). "Connective Tissue Disease-associated Interstitial Lung Disease: A review". Curr Respir Care Rep. 1: 224–232. doi:10.1007/s13665-012-0028-7. PMC 3486427. PMID 23125954.
- ↑ Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G (May 2005). "Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD)". Rheumatology (Oxford). 44 (5): 656–61. doi:10.1093/rheumatology/keh575. PMID 15716315.