Autoimmune polyendocrine syndrome CT: Difference between revisions
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Source: Case courtesy of Dr Dalia Ibrahim, Radiopaedia.org, rID: 49318 | Source: Case courtesy of Dr Dalia Ibrahim, Radiopaedia.org, rID: 49318 | ||
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*Peripheral quantitative computed tomography (pQCT) may be helpful in the diagnosis of hypopparathyroidism.<ref name="pmid14557436">{{cite journal |vauthors=Chen Q, Kaji H, Iu MF, Nomura R, Sowa H, Yamauchi M, Tsukamoto T, Sugimoto T, Chihara K |title=Effects of an excess and a deficiency of endogenous parathyroid hormone on volumetric bone mineral density and bone geometry determined by peripheral quantitative computed tomography in female subjects |journal=J. Clin. Endocrinol. Metab. |volume=88 |issue=10 |pages=4655–8 |year=2003 |pmid=14557436 |doi=10.1210/jc.2003-030470 |url=}}</ref><ref name="pmid26234545">{{cite journal |vauthors=Cusano NE, Nishiyama KK, Zhang C, Rubin MR, Boutroy S, McMahon DJ, Guo XE, Bilezikian JP |title=Noninvasive Assessment of Skeletal Microstructure and Estimated Bone Strength in Hypoparathyroidism |journal=J. Bone Miner. Res. |volume=31 |issue=2 |pages=308–16 |year=2016 |pmid=26234545 |pmc=4832602 |doi=10.1002/jbmr.2609 |url=}}</ref> | |||
*Findings on pQCT scan suggestive of hypoparathyroidism include: | |||
**Increase in volumetric [[bone mineral density]] (vBMD) of both [[Cortical bone|cortical]] and [[Trabecular bone|trabecular bones]]. | |||
**Increase in bone mineral density (BMD) of both [[Cortical bone|cortical]] and [[Trabecular bone|trabecular bones]]. | |||
==References== | ==References== |
Revision as of 20:25, 25 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There are no CT scan findings associated with [disease name].
OR
[Location] CT scan may be helpful in the diagnosis of [disease name]. Findings on CT scan suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
There are no CT scan findings associated with [disease name]. However, a CT scan may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].
CT scan
CT scan of the abdomen may be helpful in the diagnosis of autoimmune polyendocrine syndrome (APS). Findings on CT scan suggestive of adrenal insufficiency as seen in APS include:
- Small adrenal remnants bilaterally suggestive of autoimmune adrenalitis.
- Chronic cases of APS may have dense calcification in one or both adrenal beds.
- Atrophic adrenal glands - in idiopathic autoimmune Addison's disease.
- Peripheral quantitative computed tomography (pQCT) may be helpful in the diagnosis of hypopparathyroidism.[1][2]
- Findings on pQCT scan suggestive of hypoparathyroidism include:
- Increase in volumetric bone mineral density (vBMD) of both cortical and trabecular bones.
- Increase in bone mineral density (BMD) of both cortical and trabecular bones.
References
- ↑ Chen Q, Kaji H, Iu MF, Nomura R, Sowa H, Yamauchi M, Tsukamoto T, Sugimoto T, Chihara K (2003). "Effects of an excess and a deficiency of endogenous parathyroid hormone on volumetric bone mineral density and bone geometry determined by peripheral quantitative computed tomography in female subjects". J. Clin. Endocrinol. Metab. 88 (10): 4655–8. doi:10.1210/jc.2003-030470. PMID 14557436.
- ↑ Cusano NE, Nishiyama KK, Zhang C, Rubin MR, Boutroy S, McMahon DJ, Guo XE, Bilezikian JP (2016). "Noninvasive Assessment of Skeletal Microstructure and Estimated Bone Strength in Hypoparathyroidism". J. Bone Miner. Res. 31 (2): 308–16. doi:10.1002/jbmr.2609. PMC 4832602. PMID 26234545.