Systemic lupus erythematosus x ray: Difference between revisions
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|[[Dysphagia]] | |[[Dysphagia]] | ||
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*Barium swallow / esophagography | *[[Barium swallow]] / esophagography | ||
**[[Esophageal]] stricture | **[[Esophageal]] stricture | ||
*** Peptic strictures that appear as smooth, tapered narrowing in the distal esophagus | *** Peptic strictures that appear as smooth, tapered narrowing in the distal esophagus | ||
** Esophageal | ** [[Esophageal dilatation]] | ||
|- | |- | ||
|[[Enteritis]] | |[[Enteritis]] | ||
| Line 40: | Line 40: | ||
|[[Pulmonary hypertension]] | |[[Pulmonary hypertension]] | ||
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*Elevated cardiac apex due to right ventricular hypertrophy | *Elevated [[cardiac apex]] due to right ventricular hypertrophy | ||
* Enlarged right atrium | * Enlarged right atrium | ||
* Prominent pulmonary outflow tract | * Prominent pulmonary outflow tract | ||
* Enlarged pulmonary arteries | * Enlarged [[pulmonary arteries]] | ||
|- | |- | ||
|[[Pneumonitis|Acute pneumonitis]] | |[[Pneumonitis|Acute pneumonitis]] | ||
| | | | ||
* | *Bilateral patchy airspace opacification | ||
|- | |- | ||
| rowspan="2" |Cardiac involvement | | rowspan="2" |Cardiac involvement | ||
|[[Cardiomegaly]] | |[[Cardiomegaly]] | ||
| | | | ||
**Cardiac enlargement | **[[Cardiac enlargement]] | ||
|- | |- | ||
|[[Mitral stenosis]] | |[[Mitral stenosis]] | ||
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** Cardiomegaly | ** [[Cardiomegaly]] with widening the heart shadow | ||
** Double right heart border (enlarged left atrium and normal right atrium) | ** Double right heart border (enlarged [[left atrium]] and normal [[right atrium]]) | ||
** Prominent left atrial appendage | ** Prominent left atrial appendage | ||
** Splaying of the subcarinal angle (>120 degrees) | ** Splaying of the subcarinal angle (>120 degrees) | ||
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*Soft tissue swelling of the involved joints | *Soft tissue swelling of the involved joints | ||
*Normal joint spaces | *Normal joint spaces | ||
*Symmetric involvement of interphalangeal joints | *Symmetric involvement of [[interphalangeal joints]] | ||
**Swan neck deformity | **[[Swan neck deformity]] | ||
**Boutonniere deformities | **[[Boutonniere deformity|Boutonniere deformities]] | ||
**Subluxation with ulnar deviation at MCP joints | **Subluxation with ulnar deviation at [[MCP joints]] | ||
**Subluxation of the 1st metacarpophalangeal joint | **Subluxation of the 1st [[Metacarpophalangeal joints|metacarpophalangeal joint]] | ||
*Widened forefoot | *Widened forefoot | ||
*Hallux valgus | *[[Hallux valgus]] | ||
|- | |- | ||
|[[Osteoporosis]] | |[[Osteoporosis]] | ||
| | | | ||
*Periarticular osteoporosis | *Periarticular [[osteoporosis]] | ||
*Insufficiency fracture: | *Insufficiency fracture: | ||
**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 | ||
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|[[Intestinal pseudo-obstruction]] | |[[Intestinal pseudo-obstruction]] | ||
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*Dilated bowel loops with or without the presence of fluid levels | *Dilated [[bowel]] loops with or without the presence of fluid levels | ||
*Erect chest radiographs for perforation evaluating | *Erect [[chest]] radiographs for perforation evaluating | ||
|- | |- | ||
|[[Autosplenectomy]] | |[[Autosplenectomy]] | ||
| | | | ||
* Calcified spleen may be visible in the left upper quadrant | * Calcified [[spleen]] may be visible in the left upper quadrant | ||
|- | |- | ||
| rowspan="4" |Pulmonary involvement | | rowspan="4" |Pulmonary involvement | ||
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* Elevated hemidiaphragms at [[CXR]] | * Elevated hemidiaphragms at [[CXR]] | ||
* Linear atelectasis and an ill-defined juxtadiaphragmatic areas of increased opacity | * Linear [[atelectasis]] and an ill-defined juxtadiaphragmatic areas of increased opacity | ||
PMC1742125 | PMC1742125 | ||
|- | |- | ||
| Line 111: | Line 111: | ||
|[[Pulmonary emboli]] | |[[Pulmonary emboli]] | ||
| | | | ||
** [[Fleischner sign|Fleishner sign]]: enlarged pulmonary artery | ** [[Fleischner sign|Fleishner sign]]: enlarged [[pulmonary artery]] | ||
** [[Hampton's hump|Hampton hump]]: peripheral wedge of airspace opacity and implies lung infarction | ** [[Hampton's hump|Hampton hump]]: peripheral wedge of airspace opacity and implies [[lung infarction]] | ||
** [[Westermark sign]]: regional oligaemia | ** [[Westermark sign]]: regional oligaemia | ||
** [[pleural effusion]] | ** [[pleural effusion]] | ||
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|Shrinking lung syndrome | |Shrinking lung syndrome | ||
| | | | ||
*Small but clear lungs with diaphragmatic elevation | *Small but clear lungs with [[diaphragmatic elevation]] | ||
*Basal | *Basal [[atelectasis]] | ||
|- | |- | ||
| rowspan="2" |Cardiac involvement | | rowspan="2" |Cardiac involvement | ||
|[[Mitral regurgitation]] | |[[Mitral regurgitation]] | ||
| | | | ||
* Left atrial enlargement | * Left [[atrial]] enlargement | ||
** Convexity or straightening of the left atrial appendage just below the main pulmonary artery (along left heart border) | ** Convexity or straightening of the left atrial appendage just below the main [[pulmonary artery]] (along left heart border) | ||
** Double density sign: An addition contour superimposed over the right heart due to left atrium enlargement | ** Double density sign: An addition contour superimposed over the right heart due to left [[atrium]] enlargement | ||
** Elevation of the left main bronchus and splaying of the carina | ** Elevation of the left main [[bronchus]] and splaying of the [[carina]] | ||
* Upper zone venous enlargement due to pulmonary | * Upper zone venous enlargement due to [[pulmonary hypertension]] | ||
* Left ventricular enlargement is also eventually present due to volume overload | * Left [[ventricular]] enlargement is also eventually present due to volume overload | ||
|- | |- | ||
|[[Pericardial effusion]] | |[[Pericardial effusion]] | ||
| | | | ||
* Globular enlargement of the cardiac shadow giving a water bottle configuration | * Globular enlargement of the cardiac shadow giving a water bottle configuration | ||
* Lateral CXR: | * Lateral [[CXR]]: | ||
** Vertical opaque line (pericardial fluid) separating a vertical lucent line directly behind sternum (epicardial fat) anteriorly | ** Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind sternum (epicardial fat) anteriorly | ||
|- | |- | ||
|Musculoskeletal involvement | |Musculoskeletal involvement | ||
|[[Osteonecrosis]] ([[Avascular necrosis]]) | |[[Osteonecrosis]] ([[Avascular necrosis]]) | ||
| | | | ||
*Initial | *Initial minor [[osteopenia]], followed by variable density | ||
*Gradually microfractures of the subchondral bone accumulate in the dead bone | *Gradually microfractures of the subchondral bone accumulate in the dead bone | ||
*Collapse of the articular surface | *Collapse of the [[articular]] surface | ||
*Crescent sign of AVN | *Crescent sign of [[AVN]] | ||
|} | |} | ||
Revision as of 13:08, 24 July 2017
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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]
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:
X Ray
On X ray imaging, systemic lupus erythematosus (SLE) may be characterized by the following features, based on the organ system involvement.
More common complications
| Organ | Disease | Description |
|---|---|---|
| Gastrointestinal system | Dysphagia |
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| Enteritis |
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| Pulmonary involvement | Pleural effusion |
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| Pulmonary hypertension |
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| Acute pneumonitis |
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| Cardiac involvement | Cardiomegaly | |
| Mitral stenosis |
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| Musculoskeletal involvement | Arthritis |
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| Osteoporosis |
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Less common complications
| Organ | Disease | Description |
|---|---|---|
| Gastrointestinal system | Intestinal pseudo-obstruction | |
| Autosplenectomy |
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| Pulmonary involvement | Respiratory muscle dysfunction |
PMC1742125 |
| Pulmonary hemorrhage |
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| Pulmonary emboli |
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| Shrinking lung syndrome |
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| Cardiac involvement | Mitral regurgitation |
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| Pericardial effusion |
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| Musculoskeletal involvement | Osteonecrosis (Avascular necrosis) |
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