Systemic lupus erythematosus ultrasound or echocardiography: Difference between revisions
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!Sonography findings | !Sonography findings | ||
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|Gastrointestinal | |Gastrointestinal | ||
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*General | *General | ||
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**Gallbladder distension | **Gallbladder distension | ||
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|Pulmonary | |Renal | ||
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* Generally hyperechoic kidneys | |||
* The size of the kidneys vary depending on the duration of the involvement | |||
** Small and diffusely echogenic kidneys mostly on SLE-related [[chronic renal failure]] | |||
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|Pulmonary <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> | |||
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* [[Pleural effusion]] | * [[Pleural effusion]] | ||
Revision as of 21:28, 17 July 2017
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Systemic lupus erythematosus Microchapters |
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Differentiating Systemic lupus erythematosus from other Diseases |
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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
On abdominal ultrasound, systemic lupus erythematosus (SLE) may present with hepatosplenomegaly, ascitis, hyperecho kidney tissue, and rarely cholecystitis. On synovial ultrasound, SLE may present with synovial effusions and synovitis. On SLE may present with decrease ejection fraction, wall motion abnormality, effusion pericarditis, and valve leaflet thickening.
Ultrasound
Ultrasound can be used for the diagnosis of systemic lupus erythematosus complications. The table below presents the main ultrasound findings regarding the organ system involvement in SLE:
| Organ | Sonography findings |
|---|---|
| Gastrointestinal |
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| Renal |
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| Pulmonary [1] |
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| Joints[2] | |
| Raynaud phenomenon |
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Echocardiography
The main echocardiographic findings according to lupus more common cardiac involvements are[3]:
- Decrease ejection fraction
- Myocarditis
- Wall motion abnormality diagnosed mostly by trans-esophageal echocardiography
- Valvular abnormalities
- 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
- Valve thickening
- Valve regurgitation
- Pericardial effusion
- Echocardiography is the method of choice to confirm the diagnosis, estimate the volume of fluid and most importantly assess the haemodynamic impact of the effusion
Refrences
- ↑ 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.
- ↑ 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.
- ↑ Nihoyannopoulos P, Gomez PM, Joshi J, Loizou S, Walport MJ, Oakley CM (1990). "Cardiac abnormalities in systemic lupus erythematosus. Association with raised anticardiolipin antibodies". Circulation. 82 (2): 369–75. PMID 2372888.