Sandbox:Trusha: Difference between revisions

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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Churg-Strauss syndrome|'''Churg-Strauss syndrome''']]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Churg-Strauss syndrome|'''Churg-Strauss syndrome''']]
<ref name="pmid14740430">{{cite journal |vauthors=Hellmich B, Ehlers S, Csernok E, Gross WL |title=Update on the pathogenesis of Churg-Strauss syndrome |journal=Clin. Exp. Rheumatol. |volume=21 |issue=6 Suppl 32 |pages=S69–77 |date=2003 |pmid=14740430 |doi= |url=}}</ref><ref name="pmid29240526">{{cite journal |vauthors=Safran T, Masckauchan M, Maj J, Green L |title=Wells syndrome secondary to influenza vaccination: A case report and review of the literature |journal=Hum Vaccin Immunother |volume= |issue= |pages=1–3 |date=December 2017 |pmid=29240526 |doi=10.1080/21645515.2017.1417714 |url=}}</ref>
<ref name="pmid14740430">{{cite journal |vauthors=Hellmich B, Ehlers S, Csernok E, Gross WL |title=Update on the pathogenesis of Churg-Strauss syndrome |journal=Clin. Exp. Rheumatol. |volume=21 |issue=6 Suppl 32 |pages=S69–77 |date=2003 |pmid=14740430 |doi= |url=}}</ref><ref name="pmid29240526">{{cite journal |vauthors=Safran T, Masckauchan M, Maj J, Green L |title=Wells syndrome secondary to influenza vaccination: A case report and review of the literature |journal=Hum Vaccin Immunother |volume= |issue= |pages=1–3 |date=December 2017 |pmid=29240526 |doi=10.1080/21645515.2017.1417714 |url=}}</ref><ref name="pmid20623310">{{cite journal |vauthors=Szczeklik W, Sokołowska B, Mastalerz L, Grzanka P, Górka J, Pacułt K, Miszalski-Jamka T, Soja J, Musiał J |title=Pulmonary findings in Churg-Strauss syndrome in chest X-rays and high resolution computed tomography at the time of initial diagnosis |journal=Clin. Rheumatol. |volume=29 |issue=10 |pages=1127–34 |date=October 2010 |pmid=20623310 |doi=10.1007/s10067-010-1530-3 |url=}}</ref><ref name="pmid15818205">{{cite journal |vauthors=Silva CI, Müller NL, Fujimoto K, Johkoh T, Ajzen SA, Churg A |title=Churg-Strauss syndrome: high resolution CT and pathologic findings |journal=J Thorac Imaging |volume=20 |issue=2 |pages=74–80 |date=May 2005 |pmid=15818205 |doi= |url=}}</ref><ref name="pmid21496416">{{cite journal |vauthors=Feng RE, Xu WB, Shi JH, Mahmoudi A, Mu WB, Zheng WJ, Zhu YJ, Liu HR |title=Pathological and high resolution CT findings in Churg-Strauss syndrome |journal=Chin. Med. Sci. J. |volume=26 |issue=1 |pages=1–8 |date=March 2011 |pmid=21496416 |doi= |url=}}</ref>
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* [[Human leukocyte antigen|HLA]]-DRB1*04 and *07  
* [[Human leukocyte antigen|HLA]]-DRB1*04 and *07  
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[[High-resolution CT|High-resolution computerized tomography]] ([[High Resolution CT|HRCT]]):
[[High-resolution CT|High-resolution computerized tomography]] ([[High Resolution CT|HRCT]]):
* [[Alveolar lung disease|Airspace]] consolidations mostly bilateral and [[Lobe (anatomy)|lobular]]
* [[Alveolar lung disease|Airspace]] consolidations mostly bilateral and [[Lobe (anatomy)|lobular]]

Revision as of 19:09, 13 February 2019


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Trusha Tank, M.D.[3]

new

Cystic mass
Bronchogenic cyst

[1]

+ - - CT scan:
  • Spherical or oval mass
  • Smooth outline
  • Unilocular
  • Noncalcified
  • Demonstrating the size and shape of the cyst
  • Determining its position in relation to other structures
  • Bronchogenic cysts can mimic hydatid cysts
  • Pneumonitis, pneumothorax, or empyema may present
Esophageal duplication cysts

[1][2]

  • Rare congenital gastrointestinal malformation
- + - Endoscopic ultrasound (EUS)
  • Distinguish between solid and cystic lesions
  • Periesophageal homogeneous-hypoechoic mass
  • Multi-layered wall and well-defined margins
  • Anechoic cyst if considerable central fluid present
 Endoscopic ultrasound-guided FNA

Endoscopy

Thymic cyst

[1][3]

Congenital
  • Unilocular

Acquired

  • Asymptomatic
 - - + Biopsy with histopathology and cytology CT scan:
  • Oval shape
  • Smooth contour
  • Midline location
  • Calcified
  • Septate cyst
  • Fluid attenuation
Mediastinal neurenteric cyst

[1][4]

+ CT scan: Postnatal chest X-ray:

Ultrasound:

Lymphangioma

[1][5]

+ + - Histopathology and cytology

MRI:

  • Degree of involvement and extent of lesion
  • MRI can prevent extensive, incomplete surgical resection

CT scan:

Pancreatic pseudocyst

[1][6]

- - - Histopathology and cytology of cyst and fluid content CT scan
  • Thin-walled
  • Fluid-containing cyst within the posterior mediastinum
  • In continuity with the intrapancreatic or peripancreatic fluid collections
Chronic inflammatory disease
Churg-Strauss syndrome

[7][8][9][10][11]

Lung biopsy

4 out of 6 positive :

High-resolution computerized tomography (HRCT):

Disease Etiology Symptoms Dyspnea/

RI

Dysphagia SVCS Gold standard Image Additional findings
Posterior mediastinal mass
Central nervous system disease
Meningocele

[1]

Neurilemmoma

[1]

ABBREVIATIONS: N/A: Not available, SOB: Shortness of breath, M/C: Most common, RI: Respiratory insufficiency, NM: Neuromuscular system, SVCS: Superior vena cava syndrome, SLE: Systemic lupus erythematosus disease, T3: Triiodothyronine, T4: Thyroxine, TSH: Thyroid stimulating hormone, TFT: Thyroid function test
  1. Superior vena cava obstruction
  2. Partial anomalous pulmonary venous connection
  3. Esophageal achalasia
  4. Esophageal cancer
  5. Esophageal rupture
  6. Hiatus hernia
  7. Hilar lymphadenopathy
  8. Pneumomediastinum
  9. Sarcoidosis
  10. Lymphoma
  11. Neurilemmoma
  12. Non-Hodgkin lymphoma
  13. Teratoma
  14. Thymoma
  1. Thyroid cancer
  2. Goitre
  3. Mediastinal germ cell tumor,
  4. Mediastinal tumor,
  5. Mediastinitis
  1. Churg-Strauss syndrome
  2. Bronchogenic cyst,
  3. Dermoid cyst
  4. Anthrax:
  5. Tularemia


File:Name
CT scan showing a smooth anterior mediastinal mass, with a mixed internal density of containing both enhancing soft tissue and cystic areas. The outline of the mass is relatively well defined. No lymphadenopathy, pleural effusion or infiltration. Case courtesy of Dr. Abdallah Al Khateeb (Picture courtesy: Radiopedia)


File:Name
CT scan showing excessive fatty tissue deposition within the posterior mediastinum with anterior displacement of the esophagus. Case courtesy of Dr. Ahmed Abdrabou (Picture courtesy: [1])

References

  1. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L (February 2013). "A diagnostic approach to the mediastinal masses". Insights Imaging. 4 (1): 29–52. doi:10.1007/s13244-012-0201-0. PMID 23225215.
  2. ↑ Liu R, Adler DG (July 2014). "Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound". Endosc Ultrasound. 3 (3): 152–60. doi:10.4103/2303-9027.138783. PMC 4145475. PMID 25184121.
  3. ↑ Kondov, Goran; Kondov, Borislav; Srceva, Marija Jovanovska; Damjanovski, Goge; Ferati, Imran; Karapetrov, Ivan; Topuzovska, Irena Kondova; Tanevska, Nikolina; Kokareva, Anita (2017). "Giant Mediastinal Thymic Cyst". PRILOZI. 38 (2): 139–145. doi:10.1515/prilozi-2017-0032. ISSN 1857-8985.
  4. ↑ Setty, HAN; Hegde, KKS; Narvekar, VN (2005). "Neurenteric cyst of the posterior mediastinum". Australasian Radiology. 49 (2): 151–153. doi:10.1111/j.1440-1673.2005.01360.x. ISSN 0004-8461.
  5. ↑ Carr RF, Ochs RH, Ritter DA, Kenny JD, Fridey JL, Ming PM (June 1986). "Fetal cystic hygroma and Turner's syndrome". Am. J. Dis. Child. 140 (6): 580–3. PMID 3706240.
  6. ↑ Elta, Grace H; Enestvedt, Brintha K; Sauer, Bryan G; Marie Lennon, Anne (2018). "ACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts". The American Journal of Gastroenterology. 113 (4): 464–479. doi:10.1038/ajg.2018.14. ISSN 0002-9270.
  7. ↑ Hellmich B, Ehlers S, Csernok E, Gross WL (2003). "Update on the pathogenesis of Churg-Strauss syndrome". Clin. Exp. Rheumatol. 21 (6 Suppl 32): S69–77. PMID 14740430.
  8. ↑ Safran T, Masckauchan M, Maj J, Green L (December 2017). "Wells syndrome secondary to influenza vaccination: A case report and review of the literature". Hum Vaccin Immunother: 1–3. doi:10.1080/21645515.2017.1417714. PMID 29240526.
  9. ↑ Szczeklik W, Sokołowska B, Mastalerz L, Grzanka P, Górka J, Pacułt K, Miszalski-Jamka T, Soja J, Musiał J (October 2010). "Pulmonary findings in Churg-Strauss syndrome in chest X-rays and high resolution computed tomography at the time of initial diagnosis". Clin. Rheumatol. 29 (10): 1127–34. doi:10.1007/s10067-010-1530-3. PMID 20623310.
  10. ↑ Silva CI, Müller NL, Fujimoto K, Johkoh T, Ajzen SA, Churg A (May 2005). "Churg-Strauss syndrome: high resolution CT and pathologic findings". J Thorac Imaging. 20 (2): 74–80. PMID 15818205.
  11. ↑ Feng RE, Xu WB, Shi JH, Mahmoudi A, Mu WB, Zheng WJ, Zhu YJ, Liu HR (March 2011). "Pathological and high resolution CT findings in Churg-Strauss syndrome". Chin. Med. Sci. J. 26 (1): 1–8. PMID 21496416.
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