Syphilis CT: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}}{{AE}}; {{AA}} {{VD}} | {{CMG}}; {{AE}}; {{AA}}; {{VD}}; {{TarekNafee}} | ||
{{Syphilis}} | {{Syphilis}} | ||
==Overview== | ==Overview== | ||
CT scan | CT scan is not diagnostic of syphilis. However, non-specific CT findings may demonstrate complications of syphilis including pulmonary, cardiac, neurological, and bone findings. | ||
==CT == | ==CT == | ||
On CT scan, syphilis may present with various findings including:<ref name="pmid15259819">{{cite journal| author=Kimura F, Satoh H, Sakai F, Nishii N, Tohda J, Fujimura M et al.| title=Computed tomographic findings of syphilitic aortitis. | journal=Cardiovasc Intervent Radiol | year= 2004 | volume= 27 | issue= 2 | pages= 179-81 | pmid=15259819 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15259819 }} </ref><ref name="pmid19325064">{{cite journal| author=Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA| title=Multidetector CT of thoracic aortic aneurysms. | journal=Radiographics | year= 2009 | volume= 29 | issue= 2 | pages= 537-52 | pmid=19325064 | doi=10.1148/rg.292075080 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19325064 }} </ref><ref name="pmid21431031">{{cite journal| author=Kim HJ, Seon HJ, Shin HH, Choi YD| title=Case report: Pulmonary syphilis mimicking pulmonary hematogenous metastases on chest CT and integrated PET/CT. | journal=Indian J Radiol Imaging | year= 2011 | volume= 21 | issue= 1 | pages= 34-7 | pmid=21431031 | doi=10.4103/0971-3026.76052 | pmc=3056368 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21431031 }} </ref> | On CT scan, syphilis may present with various findings including:<ref name="pmid15259819">{{cite journal| author=Kimura F, Satoh H, Sakai F, Nishii N, Tohda J, Fujimura M et al.| title=Computed tomographic findings of syphilitic aortitis. | journal=Cardiovasc Intervent Radiol | year= 2004 | volume= 27 | issue= 2 | pages= 179-81 | pmid=15259819 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15259819 }} </ref><ref name="pmid19325064">{{cite journal| author=Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA| title=Multidetector CT of thoracic aortic aneurysms. | journal=Radiographics | year= 2009 | volume= 29 | issue= 2 | pages= 537-52 | pmid=19325064 | doi=10.1148/rg.292075080 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19325064 }} </ref><ref name="pmid21431031">{{cite journal| author=Kim HJ, Seon HJ, Shin HH, Choi YD| title=Case report: Pulmonary syphilis mimicking pulmonary hematogenous metastases on chest CT and integrated PET/CT. | journal=Indian J Radiol Imaging | year= 2011 | volume= 21 | issue= 1 | pages= 34-7 | pmid=21431031 | doi=10.4103/0971-3026.76052 | pmc=3056368 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21431031 }} </ref> | ||
===Pulmonary=== | ===Pulmonary=== | ||
* Solitary or multiple pulmonary nodules with or without infiltrates | * Solitary or multiple pulmonary nodules with or without infiltrates (mimicking pulmonary metastasis) | ||
* Pleural effusion | * Pleural effusion | ||
===Cardiac=== | ===Cardiac=== | ||
Revision as of 17:18, 10 October 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Aysha Anwar, M.B.B.S[2]; Vishal Devarkonda, M.B.B.S[3]; Tarek Nafee, M.D. [4]
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Syphilis Microchapters | |
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Diagnosis | |
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Treatment | |
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Case Studies | |
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Syphilis CT On the Web | |
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American Roentgen Ray Society Images of Syphilis CT | |
Overview
CT scan is not diagnostic of syphilis. However, non-specific CT findings may demonstrate complications of syphilis including pulmonary, cardiac, neurological, and bone findings.
CT
On CT scan, syphilis may present with various findings including:[1][2][3]
Pulmonary
- Solitary or multiple pulmonary nodules with or without infiltrates (mimicking pulmonary metastasis)
- Pleural effusion
Cardiac
- Double ring appearance of the Aortic wall with a hyper-dense outer rim and hypo-dense inner rim.
- Thickening or calcification of Aortic wall.
- Arterial enhancement of Aorta.
Head
- Multifocal infarction with variable enhancement.
Others
- Perivascular fluid Collection
- Peri aortic lymph node
References
- ↑ Kimura F, Satoh H, Sakai F, Nishii N, Tohda J, Fujimura M; et al. (2004). "Computed tomographic findings of syphilitic aortitis". Cardiovasc Intervent Radiol. 27 (2): 179–81. PMID 15259819.
- ↑ Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA (2009). "Multidetector CT of thoracic aortic aneurysms". Radiographics. 29 (2): 537–52. doi:10.1148/rg.292075080. PMID 19325064.
- ↑ Kim HJ, Seon HJ, Shin HH, Choi YD (2011). "Case report: Pulmonary syphilis mimicking pulmonary hematogenous metastases on chest CT and integrated PET/CT". Indian J Radiol Imaging. 21 (1): 34–7. doi:10.4103/0971-3026.76052. PMC 3056368. PMID 21431031.