Sjögren's syndrome CT: Difference between revisions
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**Abnormal diffuse fat tissue deposition | **Abnormal diffuse fat tissue deposition | ||
**Diffuse punctate calcification | **Diffuse punctate calcification | ||
*Chest CT scan may be helpful in the diagnosis of complications of Sjögren's syndrome, which include: | *Chest CT scan may be helpful in the diagnosis of complications of Sjögren's syndrome, which include:<ref name="pmid17939337">{{cite journal |vauthors=Song MK, Seol YM, Park YE, Kim YS, Lee MK, Lee CH, Jeong YJ |title=Pulmonary nodular lymphoid hyperplasia associated with Sjögren's syndrome |journal=Korean J. Intern. Med. |volume=22 |issue=3 |pages=192–6 |date=September 2007 |pmid=17939337 |pmc=2687695 |doi= |url=}}</ref><ref name="pmid20692541">{{cite journal |vauthors=Kokosi M, Riemer EC, Highland KB |title=Pulmonary involvement in Sjögren syndrome |journal=Clin. Chest Med. |volume=31 |issue=3 |pages=489–500 |date=September 2010 |pmid=20692541 |doi=10.1016/j.ccm.2010.05.007 |url=}}</ref><ref name="pmid27514593">{{cite journal |vauthors=Panchabhai TS, Farver C, Highland KB |title=Lymphocytic Interstitial Pneumonia |journal=Clin. Chest Med. |volume=37 |issue=3 |pages=463–74 |date=September 2016 |pmid=27514593 |doi=10.1016/j.ccm.2016.04.009 |url=}}</ref><ref name="pmid26741500">{{cite journal |vauthors=Gupta N, Wikenheiser-Brokamp KA, Fischer A, McCormack FX |title=Diffuse Cystic Lung Disease as the Presenting Manifestation of Sjögren Syndrome |journal=Ann Am Thorac Soc |volume=13 |issue=3 |pages=371–5 |date=March 2016 |pmid=26741500 |pmc=5461998 |doi=10.1513/AnnalsATS.201511-759BC |url=}}</ref><ref name="pmid12042961">{{cite journal |vauthors=Taouli B, Brauner MW, Mourey I, Lemouchi D, Grenier PA |title=Thin-section chest CT findings of primary Sjögren's syndrome: correlation with pulmonary function |journal=Eur Radiol |volume=12 |issue=6 |pages=1504–11 |date=June 2002 |pmid=12042961 |doi=10.1007/s00330-001-1236-7 |url=}}</ref><ref name="pmid11685093">{{cite journal |vauthors=Uffmann M, Kiener HP, Bankier AA, Baldt MM, Zontsich T, Herold CJ |title=Lung manifestation in asymptomatic patients with primary Sjögren syndrome: assessment with high resolution CT and pulmonary function tests |journal=J Thorac Imaging |volume=16 |issue=4 |pages=282–9 |date=October 2001 |pmid=11685093 |doi= |url=}}</ref> | ||
**Nonspecific interstitial pneumonia | **Nonspecific interstitial pneumonia | ||
***Patchy ground-glass attenuation | ***Patchy ground-glass attenuation | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
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Overview
CT
- Parotid gland CT scan may be helpful in the diagnosis of Sjögren's syndrome. Findings on CT scan suggestive of Sjögren's syndrome include:[1][2][3]
- Abnormal diffuse fat tissue deposition
- Diffuse punctate calcification
- Chest CT scan may be helpful in the diagnosis of complications of Sjögren's syndrome, which include:[4][5][6][2][7][8]
- Nonspecific interstitial pneumonia
- Patchy ground-glass attenuation
- Intralobular reticulation with a lower lobe predilection
- Interstitial pneumonia pattern
- Increased reticular markings in a basilar and peripheral distribution
- Areas of subpleural honeycombing
- lymphoid interstitial pneumonia pattern
- Ground-glass attenuation
- Centrilobular and subpleural nodules
- Septal thickening
- Reticular opacities
- Bronchial/bronchiolar thickening
- Thin-walled cysts
- Nodular lymphoid hyperplasia
- Nodular or mass-like consolidation with or without air bronchogram
- Follicular bronchiolitis
- Centrilobular and peribronchial nodules
- Organizing pneumonia
- Consolidative and ground-glass opacities
- Centrilobular nodules and tree-in-bud opacities
- Pulmonary nodular amyloidosis
- Diffuse nodules
- Cystic lesions
- Focal consolidation
- Diffuse septal thickening
- Nonspecific interstitial pneumonia
References
- ↑ Sun Z, Zhang Z, Fu K, Zhao Y, Liu D, Ma X (October 2012). "Diagnostic accuracy of parotid CT for identifying Sjögren's syndrome". Eur J Radiol. 81 (10): 2702–9. doi:10.1016/j.ejrad.2011.12.034. PMID 22285605.
- ↑ 2.0 2.1 Gupta N, Wikenheiser-Brokamp KA, Fischer A, McCormack FX (March 2016). "Diffuse Cystic Lung Disease as the Presenting Manifestation of Sjögren Syndrome". Ann Am Thorac Soc. 13 (3): 371–5. doi:10.1513/AnnalsATS.201511-759BC. PMC 5461998. PMID 26741500.
- ↑ Matsuyama N, Ashizawa K, Okimoto T, Kadota J, Amano H, Hayashi K (December 2003). "Pulmonary lesions associated with Sjögren's syndrome: radiographic and CT findings". Br J Radiol. 76 (912): 880–4. doi:10.1259/bjr/18937619. PMID 14711775.
- ↑ Song MK, Seol YM, Park YE, Kim YS, Lee MK, Lee CH, Jeong YJ (September 2007). "Pulmonary nodular lymphoid hyperplasia associated with Sjögren's syndrome". Korean J. Intern. Med. 22 (3): 192–6. PMC 2687695. PMID 17939337.
- ↑ Kokosi M, Riemer EC, Highland KB (September 2010). "Pulmonary involvement in Sjögren syndrome". Clin. Chest Med. 31 (3): 489–500. doi:10.1016/j.ccm.2010.05.007. PMID 20692541.
- ↑ Panchabhai TS, Farver C, Highland KB (September 2016). "Lymphocytic Interstitial Pneumonia". Clin. Chest Med. 37 (3): 463–74. doi:10.1016/j.ccm.2016.04.009. PMID 27514593.
- ↑ Taouli B, Brauner MW, Mourey I, Lemouchi D, Grenier PA (June 2002). "Thin-section chest CT findings of primary Sjögren's syndrome: correlation with pulmonary function". Eur Radiol. 12 (6): 1504–11. doi:10.1007/s00330-001-1236-7. PMID 12042961.
- ↑ Uffmann M, Kiener HP, Bankier AA, Baldt MM, Zontsich T, Herold CJ (October 2001). "Lung manifestation in asymptomatic patients with primary Sjögren syndrome: assessment with high resolution CT and pulmonary function tests". J Thorac Imaging. 16 (4): 282–9. PMID 11685093.