Systemic lupus erythematosus ultrasound or echocardiography: Difference between revisions
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==Ultrasound== | ==Ultrasound== | ||
Ultrasound can be used for the diagnosis of systemic lupus erythematosus complications in 2 ways: echocardiography for evaluation of cardiac complications and ultrasound in the diagnosis of abdominal/ | Ultrasound can be used for the diagnosis of systemic lupus erythematosus complications in 2 ways: echocardiography for evaluation of cardiac complications and ultrasound in the diagnosis of abdominal muscular and synovial problems | ||
* Ultrasonography of synovial tissue in knee may show synovial proliferation and effusions. Ultrasound may also shows synovitis but there is usually no erosions (the difference between SLE and RA).<ref name="pmid19473577">{{cite journal |vauthors=Ossandon A, Iagnocco A, Alessandri C, Priori R, Conti F, Valesini G |title=Ultrasonographic depiction of knee joint alterations in systemic lupus erythematosus |journal=Clin. Exp. Rheumatol. |volume=27 |issue=2 |pages=329–32 |year=2009 |pmid=19473577 |doi= |url=}}</ref> | |||
* Abdomen | |||
** Hepatosplenomegaly | |||
* Pleural effusion: echo-free space between the visceral and parietal pleura<ref name="pmid22934226">{{cite journal |vauthors=Virdi RP, Bashir A, Shahzad G, Iqbal J, Mejia JO |title=Diffuse alveolar hemorrhage: a rare life-threatening condition in systemic lupus erythematosus |journal=Case Rep Pulmonol |volume=2012 |issue= |pages=836017 |year=2012 |pmid=22934226 |pmc=3420594 |doi=10.1155/2012/836017 |url=}}</ref> | |||
Pleural effusion: echo-free space between the visceral and parietal pleura<ref name="pmid22934226">{{cite journal |vauthors=Virdi RP, Bashir A, Shahzad G, Iqbal J, Mejia JO |title=Diffuse alveolar hemorrhage: a rare life-threatening condition in systemic lupus erythematosus |journal=Case Rep Pulmonol |volume=2012 |issue= |pages=836017 |year=2012 |pmid=22934226 |pmc=3420594 |doi=10.1155/2012/836017 |url=}}</ref> | |||
===== Nephritis manifestations ===== | ===== Nephritis manifestations ===== | ||
Revision as of 20:31, 6 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]
Overview
Ultrasound
Ultrasound can be used for the diagnosis of systemic lupus erythematosus complications in 2 ways: echocardiography for evaluation of cardiac complications and ultrasound in the diagnosis of abdominal muscular and synovial problems
- Ultrasonography of synovial tissue in knee may show synovial proliferation and effusions. Ultrasound may also shows synovitis but there is usually no erosions (the difference between SLE and RA).[1]
- Abdomen
- Hepatosplenomegaly
- Pleural effusion: echo-free space between the visceral and parietal pleura[2]
Nephritis manifestations
- Hyperechoic kidneys
- The size of the kidney depends on the duration of renal involvement
- Small and diffusely echogenic kidneys mostly manifests chronic renal failure due to SLE
Echocardiography
- Decrease ejection fraction
Myocardium
- Wall motion abnormality diagnosed mostly by trans-esophageal echocardiography mainly due to mayocarditis
Pericardium
- Effusion pericarditis
Valvular diseases
- Valve leaflet thickening due to Libman-Sacks endocarditis characterized by the formation of small single or multiple, sterile, granular pink vegetations ranging from 1 to 4 mm Nihoyannopoulos P, Gomez PM, Joshi J, Loizou S, Walport MJ, Oakley CM. Cardiac abnormalities in systemic lupus erythematosus: association with raised anticardiolipin antibodies. Circulation 1990; 82:369-375.
- Valve thickening
- Valve regurgitation
Refrences
- ↑ Ossandon A, Iagnocco A, Alessandri C, Priori R, Conti F, Valesini G (2009). "Ultrasonographic depiction of knee joint alterations in systemic lupus erythematosus". Clin. Exp. Rheumatol. 27 (2): 329–32. PMID 19473577.
- ↑ Virdi RP, Bashir A, Shahzad G, Iqbal J, Mejia JO (2012). "Diffuse alveolar hemorrhage: a rare life-threatening condition in systemic lupus erythematosus". Case Rep Pulmonol. 2012: 836017. doi:10.1155/2012/836017. PMC 3420594. PMID 22934226.