Rapidly progressive glomerulonephritis x-ray findings: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Rapidly progressive glomerulonephritis}} | {{Rapidly progressive glomerulonephritis}} | ||
{{CMG}}; {{AE}} {{AEL}} | {{CMG}}; {{AE}} {{AEL}} {{ N.F }} | ||
==Overview== | ==Overview== | ||
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==X Ray== | ==X Ray== | ||
*There are no x-ray findings associated with rapidly progressive glomerulonephritis | *There are no x-ray findings associated with rapidly progressive glomerulonephritis, except in anti-GBM antibody (Goodpasture syndrome). | ||
*In Goodpasture syndrome, chest x-ray findings include the following: | *In Goodpasture syndrome, chest x-ray findings include the following: | ||
** | **[[parenchymal]] [[Consolidation (medicine)|consolidations]].<ref name="pmid25462583">{{cite journal| author=Greco A, Rizzo MI, De Virgilio A, Gallo A, Fusconi M, Pagliuca G et al.| title=Goodpasture's syndrome: a clinical update. | journal=Autoimmun Rev | year= 2015 | volume= 14 | issue= 3 | pages= 246-53 | pmid=25462583 | doi=10.1016/j.autrev.2014.11.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25462583 }}</ref><ref name="Diffuse-alveolar-haemorrhage-in-goodpasture-syndrome">Case courtesy of Dr Sajoscha Sorrentino. https://radiopaedia.org/cases/14859 Accessed on November 4, 2016</ref> | ||
**Patients with Goodpasture syndrome have [[parenchymal]] [[Consolidation (medicine)|consolidations]] from [[autoantibody]] induced [[inflammatory]] lesions that are most often present bilaterally in both [[lungs]], the perihilar, and bibasilar regions. | **Patients with Goodpasture syndrome have [[parenchymal]] [[Consolidation (medicine)|consolidations]] from [[autoantibody]] induced [[inflammatory]] lesions that are most often present bilaterally in both [[lungs]], in the perihilar, and bibasilar regions. | ||
**Unusual locations for parenchymal consolidations include the apices and the [[Costophrenic angle|costophrenic angles.]] | **Unusual locations for parenchymal consolidations include the apices and the [[Costophrenic angle|costophrenic angles.]] | ||
** | **18% of patients with Goodpasture's syndrome may not show any signs of parenchymal [[Consolidation (medicine)|consolidation]], during the early stage of the disease. | ||
[[File:Diffuse-alveolar-haemorrhage-in-goodpasture-syndrome.jpg|thumb|center|Note: Diffuse alveolar hemorrhage throughout both lung fields in Goodpasture syndrome ([Case courtesy of Dr Sajoscha Sorrentino, <nowiki><a href="https://radiopaedia.org/">Radiopaedia.org</a></nowiki>])]] | [[File:Diffuse-alveolar-haemorrhage-in-goodpasture-syndrome.jpg|thumb|center|Note: Diffuse alveolar hemorrhage throughout both lung fields in Goodpasture syndrome ([Case courtesy of Dr Sajoscha Sorrentino, <nowiki><a href="https://radiopaedia.org/">Radiopaedia.org</a></nowiki>])]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 19:30, 31 July 2018
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Rapidly progressive glomerulonephritis Microchapters |
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Differentiating Rapidly progressive glomerulonephritis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2] Nazia Fuad M.D.
Overview
There are no x-ray findings associated with rapidly progressive glomerulonephritis unless it is associated with anti-GBM antibody disease (Goodpasture syndrome). On chest X-ray, Goodpasture syndrome is characterized by parenchymal consolidations that are most often present in both lungs, perihilar, and bibasilar. When pulmonary hemorrhage is recurrent an interstitial pattern is observed.
X Ray
- There are no x-ray findings associated with rapidly progressive glomerulonephritis, except in anti-GBM antibody (Goodpasture syndrome).
- In Goodpasture syndrome, chest x-ray findings include the following:
- parenchymal consolidations.[1][2]
- Patients with Goodpasture syndrome have parenchymal consolidations from autoantibody induced inflammatory lesions that are most often present bilaterally in both lungs, in the perihilar, and bibasilar regions.
- Unusual locations for parenchymal consolidations include the apices and the costophrenic angles.
- 18% of patients with Goodpasture's syndrome may not show any signs of parenchymal consolidation, during the early stage of the disease.
References
- ↑ Greco A, Rizzo MI, De Virgilio A, Gallo A, Fusconi M, Pagliuca G; et al. (2015). "Goodpasture's syndrome: a clinical update". Autoimmun Rev. 14 (3): 246–53. doi:10.1016/j.autrev.2014.11.006. PMID 25462583.
- ↑ Case courtesy of Dr Sajoscha Sorrentino. https://radiopaedia.org/cases/14859 Accessed on November 4, 2016