Systemic lupus erythematosus other imaging findings: Difference between revisions
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==Other Imaging Findings== | ==Other Imaging Findings== | ||
* Fibreoptic [[bronchoscopy]] with [[Bronchoalveolar lavage|bronchoalveolar lavage (BAL)]] and transbronchial lung biopsies: | * Fibreoptic [[bronchoscopy]] with [[Bronchoalveolar lavage|bronchoalveolar lavage (BAL)]] and transbronchial lung biopsies:<ref name="pmid16409858">{{cite journal |vauthors=Shen M, Wang Y, Xu WB, Zeng XJ, Zhang FC |title=[Pleuropulmonary manifestations of systemic lupus erythematosus] |language=Chinese |journal=Zhonghua Yi Xue Za Zhi |volume=85 |issue=48 |pages=3392–5 |year=2005 |pmid=16409858 |doi= |url=}}</ref><ref name="pmid9187214">{{cite journal |vauthors=Susanto I, Peters JI |title=Acute lupus pneumonitis with normal chest radiograph |journal=Chest |volume=111 |issue=6 |pages=1781–3 |year=1997 |pmid=9187214 |doi= |url=}}</ref><ref name="pmid16409858">{{cite journal |vauthors=Shen M, Wang Y, Xu WB, Zeng XJ, Zhang FC |title=[Pleuropulmonary manifestations of systemic lupus erythematosus] |language=Chinese |journal=Zhonghua Yi Xue Za Zhi |volume=85 |issue=48 |pages=3392–5 |year=2005 |pmid=16409858 |doi= |url=}}</ref> | ||
** To substantiate the diagnosis of alveolar hemorrhage | ** To substantiate the diagnosis of alveolar hemorrhage | ||
* Upper gastrointestinal barium study: | * Upper gastrointestinal barium study:<ref name="pmid9833786">{{cite journal |vauthors=Hizawa K, Iida M, Aoyagi K, Jo Y, Matsumoto T, Yao T, Yao T, Fujishima M |title=Double-contrast radiographic assessment of lupus-associated enteropathy |journal=Clin Radiol |volume=53 |issue=11 |pages=825–9 |year=1998 |pmid=9833786 |doi= |url=}}</ref> | ||
** In patients who represent with [[esophagitis]] due to SLE | ** In patients who represent with [[esophagitis]] due to SLE | ||
** Possible findings include: | ** Possible findings include: | ||
*** Mucosal [[granularity]] from [[reflux esophagitis]] | *** Mucosal [[granularity]] from [[reflux esophagitis]] | ||
*** [[Ulceration]] in severe cases | *** [[Ulceration]] in severe cases | ||
* Double contrast technique: | * Double contrast technique:<ref name="pmid9833786">{{cite journal |vauthors=Hizawa K, Iida M, Aoyagi K, Jo Y, Matsumoto T, Yao T, Yao T, Fujishima M |title=Double-contrast radiographic assessment of lupus-associated enteropathy |journal=Clin Radiol |volume=53 |issue=11 |pages=825–9 |year=1998 |pmid=9833786 |doi= |url=}}</ref> | ||
** In the presence of [[gastritis]] or [[peptic ulcers]], for evaluation of [[stomach]] and [[duodenum]] | ** In the presence of [[gastritis]] or [[peptic ulcers]], for evaluation of [[stomach]] and [[duodenum]] | ||
* [[Scintigraphy]] imaging: | * [[Scintigraphy]] imaging:<ref name="pmid26825210">{{cite journal |vauthors=Tsai SC, Hsieh TY, Huang PW, Lin WY |title=Absolute Quantitative Evaluation of 67Ga Scintigraphy in Lupus Nephritis |journal=Clin Nucl Med |volume=41 |issue=6 |pages=442–6 |year=2016 |pmid=26825210 |doi=10.1097/RLU.0000000000001108 |url=}}</ref><ref name="pmid9712384">{{cite journal |vauthors=Lin WY, Cheng KY, Wang SJ |title=Ga-67 scintigraphy in lupus nephritis |journal=Clin Nucl Med |volume=23 |issue=8 |pages=517–20 |year=1998 |pmid=9712384 |doi= |url=}}</ref> | ||
** In the presence of [[acute cholecystitis]] symptoms | ** In the presence of [[acute cholecystitis]] symptoms | ||
** Findings include: | ** Findings include: | ||
*** Gallbladder wall thickening | *** Gallbladder wall thickening | ||
*** Nonfunctioning [[gallbladder]] at [[hepatobiliary system]] | *** Nonfunctioning [[gallbladder]] at [[hepatobiliary system]] | ||
* [[Scintigraphy|Bone scintigraphy]]: | * [[Scintigraphy|Bone scintigraphy]]:<ref name="pmid9330932">{{cite journal |vauthors=Van de Wiele C, Van den Bosch F, Mielants H, Simons M, Veys EM, Dierckx RA |title=Bone scintigraphy of the hands in early stage lupus erythematosus and rheumatoid arthritis |journal=J. Rheumatol. |volume=24 |issue=10 |pages=1916–21 |year=1997 |pmid=9330932 |doi= |url=}}</ref> | ||
** Non specific | ** Non specific | ||
**Hand [[scintigraphy]] may be useful to differentiate SLE from RA in early stage disease<ref name="pmid9330932">{{cite journal |vauthors=Van de Wiele C, Van den Bosch F, Mielants H, Simons M, Veys EM, Dierckx RA |title=Bone scintigraphy of the hands in early stage lupus erythematosus and rheumatoid arthritis |journal=J. Rheumatol. |volume=24 |issue=10 |pages=1916–21 |year=1997 |pmid=9330932 |doi= |url=}}</ref> | |||
** May show: | ** May show: | ||
*** [[Hyperemia]] of the affected bone | *** [[Hyperemia]] of the affected bone | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Other imaging systems that can be used for diagnosis of systemic lupus erythematosus complications include: Fibreoptic bronchoscopy , double-contrast technique for evaluation of gastritis, scintigraphy for hepatobiliary system evaluation, bone scintigraphy and bone scans to evaluate late bone related complications.
Other Imaging Findings
- Fibreoptic bronchoscopy with bronchoalveolar lavage (BAL) and transbronchial lung biopsies:[1][2][1]
- To substantiate the diagnosis of alveolar hemorrhage
- Upper gastrointestinal barium study:[3]
- In patients who represent with esophagitis due to SLE
- Possible findings include:
- Mucosal granularity from reflux esophagitis
- Ulceration in severe cases
- Double contrast technique:[3]
- In the presence of gastritis or peptic ulcers, for evaluation of stomach and duodenum
- Scintigraphy imaging:[4][5]
- In the presence of acute cholecystitis symptoms
- Findings include:
- Gallbladder wall thickening
- Nonfunctioning gallbladder at hepatobiliary system
- Bone scintigraphy:[6]
- Non specific
- Hand scintigraphy may be useful to differentiate SLE from RA in early stage disease[6]
- May show:
- Hyperemia of the affected bone
- Osteogenesis due to avascular necrosis (AVN)
- Technetium-99m methylene diphosphonate bone scans:
- Photopenic areas will be seen primarily that will eventually progress to osteoblasts activity and increased radiotracer uptake at the margins of the infarction
- An abnormal intraosseous phlebogram may be diagnostic
- May demonstrate elevated intramedullary pressure
References
- ↑ 1.0 1.1 Shen M, Wang Y, Xu WB, Zeng XJ, Zhang FC (2005). "[Pleuropulmonary manifestations of systemic lupus erythematosus]". Zhonghua Yi Xue Za Zhi (in Chinese). 85 (48): 3392–5. PMID 16409858.
- ↑ Susanto I, Peters JI (1997). "Acute lupus pneumonitis with normal chest radiograph". Chest. 111 (6): 1781–3. PMID 9187214.
- ↑ 3.0 3.1 Hizawa K, Iida M, Aoyagi K, Jo Y, Matsumoto T, Yao T, Yao T, Fujishima M (1998). "Double-contrast radiographic assessment of lupus-associated enteropathy". Clin Radiol. 53 (11): 825–9. PMID 9833786.
- ↑ Tsai SC, Hsieh TY, Huang PW, Lin WY (2016). "Absolute Quantitative Evaluation of 67Ga Scintigraphy in Lupus Nephritis". Clin Nucl Med. 41 (6): 442–6. doi:10.1097/RLU.0000000000001108. PMID 26825210.
- ↑ Lin WY, Cheng KY, Wang SJ (1998). "Ga-67 scintigraphy in lupus nephritis". Clin Nucl Med. 23 (8): 517–20. PMID 9712384.
- ↑ 6.0 6.1 Van de Wiele C, Van den Bosch F, Mielants H, Simons M, Veys EM, Dierckx RA (1997). "Bone scintigraphy of the hands in early stage lupus erythematosus and rheumatoid arthritis". J. Rheumatol. 24 (10): 1916–21. PMID 9330932.