Systemic lupus erythematosus x ray: Difference between revisions
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! style="background: #4479BA; color: #FFFFFF; " |Description | ! style="background: #4479BA; color: #FFFFFF; " |Description | ||
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| rowspan="2" | | rowspan="2" style="background: #DCDCDC; " |Gastrointestinal system | ||
|[[Dysphagia]] | |[[Dysphagia]] | ||
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*[[Barium swallow]] / esophagography | *[[Barium swallow]] / esophagography | ||
**[[Esophageal]] stricture | **[[Esophageal]] stricture | ||
*** Peptic strictures that appear as smooth, tapered narrowing in the distal esophagus | *** Peptic strictures that appear as smooth, tapered narrowing in the distal [[esophagus]] | ||
** [[Esophageal dilatation]] | ** [[Esophageal dilatation]] | ||
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* Small bowel wall thickening | * Small bowel wall thickening | ||
** [[Thumbprinting|Thumbprinting sign]] | |||
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| rowspan="3" style="background: #DCDCDC; " | | rowspan="3" style="background: #DCDCDC; " |Pulmonary involvement | ||
|[[Pleural effusion]] | |[[Pleural effusion]] | ||
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** Blunting of the [[costophrenic angle]] | ** Blunting of the [[costophrenic angle]] | ||
** Blunting of the cardiophrenic angle | ** Blunting of the cardiophrenic angle | ||
** Fluid within the horizontal or oblique fissures | ** Fluid within the [[Horizontal fissure of right lung|horizontal]] or [[Oblique fissure|oblique fissures]] | ||
** Mediastinal shifts with large amounts of fluid | ** [[Mediastinal]] shifts with large amounts of fluid | ||
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|[[Pulmonary hypertension]] | |[[Pulmonary hypertension]] | ||
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*Elevated [[cardiac apex]] due to right ventricular hypertrophy | *Elevated [[cardiac apex]] due to [[right ventricular hypertrophy]] | ||
* Enlarged right atrium | * [[Enlarged right atrium]] | ||
* Prominent pulmonary outflow tract | * Prominent pulmonary outflow tract | ||
* Enlarged [[pulmonary arteries]] | * Enlarged [[pulmonary arteries]] | ||
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|[[Pneumonitis|Acute pneumonitis]] | |[[Pneumonitis|Acute pneumonitis]] | ||
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*Bilateral patchy airspace opacification | *[[Bilateral]] patchy airspace opacification | ||
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| rowspan="2" style="background: #DCDCDC; " |Cardiac involvement | | rowspan="2" style="background: #DCDCDC; " |Cardiac involvement | ||
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|[[Mitral stenosis]] | |[[Mitral stenosis]] | ||
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** [[Cardiomegaly]] with widening the heart shadow | ** [[Cardiomegaly]] with [[Widened mediastinum|widening the heart shadow]] | ||
** Double right heart border (enlarged [[left atrium]] and normal [[right atrium]]) | ** Double right heart border (enlarged [[left atrium]] and normal [[right atrium]]) | ||
** Prominent left atrial appendage | ** Prominent [[left atrial]] appendage | ||
** Splaying of the subcarinal angle (>120 degrees) | ** Splaying of the subcarinal angle (>120 degrees) | ||
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**[[Swan neck deformity]] | **[[Swan neck deformity]] | ||
**[[Boutonniere deformity|Boutonniere deformities]] | **[[Boutonniere deformity|Boutonniere deformities]] | ||
**Subluxation with ulnar deviation at [[MCP joints]] | **[[Subluxation]] with [[ulnar deviation]] at [[MCP joints]] | ||
**Subluxation of the 1st [[Metacarpophalangeal joints|metacarpophalangeal joint]] | **[[Subluxation]] of the 1st [[Metacarpophalangeal joints|metacarpophalangeal joint]] | ||
*Widened forefoot | *Widened forefoot | ||
*[[Hallux valgus]] | *[[Hallux valgus]] | ||
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*Insufficiency fracture: | *Insufficiency fracture: | ||
**[[Periosteal reaction]] progressing to callus formation in diaphyseal fractures | **[[Periosteal reaction]] progressing to callus formation in diaphyseal fractures | ||
**Linear [[sclerosis]] and cortical thickening more frequent in [[metaphyseal]] and [[epiphyseal]] fractures | **Linear [[sclerosis]] and cortical thickening more frequent in [[metaphyseal]] and [[epiphyseal]] [[fractures]] | ||
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*Dilated [[bowel]] loops with or without the presence of fluid levels | *Dilated [[bowel]] loops with or without the presence of fluid levels | ||
*Erect [[chest]] radiographs for perforation evaluating | *Erect [[chest]] radiographs for [[perforation]] evaluating | ||
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|[[Autosplenectomy]] | |[[Autosplenectomy]] | ||
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| rowspan="4" style="background: #DCDCDC; " |Pulmonary involvement | | rowspan="4" style="background: #DCDCDC; " |Pulmonary involvement | ||
|Respiratory muscle dysfunction | |[[Respiratory failure|Respiratory muscle dysfunction]]<ref name="pmid11571369">{{cite journal |vauthors=Rockall AG, Rickards D, Shaw PJ |title=Imaging of the pulmonary manifestations of systemic disease |journal=Postgrad Med J |volume=77 |issue=912 |pages=621–38 |year=2001 |pmid=11571369 |pmc=1742125 |doi= |url=}}</ref> | ||
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* Elevated hemidiaphragms at [[CXR]] | * Elevated hemidiaphragms at [[CXR]] | ||
* Linear [[atelectasis]] and an ill-defined juxtadiaphragmatic areas of increased opacity | * Linear [[atelectasis]] and an ill-defined juxtadiaphragmatic areas of increased opacity | ||
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|[[Pulmonary hemorrhage]] | |[[Pulmonary hemorrhage]] | ||
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** [[Fleischner sign|Fleishner sign]]: enlarged [[pulmonary artery]] | ** [[Fleischner sign|Fleishner sign]]: enlarged [[pulmonary artery]] | ||
** [[Hampton's hump|Hampton hump]]: peripheral wedge of airspace opacity and implies [[lung infarction]] | ** [[Hampton's hump|Hampton hump]]: peripheral wedge of airspace opacity and implies [[lung infarction]] | ||
** [[Westermark sign]]: regional | ** [[Westermark sign]]: regional oligoemia | ||
** [[pleural effusion]] | ** [[pleural effusion]] | ||
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|Shrinking lung syndrome | |Shrinking lung syndrome | ||
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*Small but clear lungs with [[diaphragmatic elevation]] | *Small but clear [[lungs]] with [[diaphragmatic elevation]] | ||
*Basal [[atelectasis]] | *Basal [[atelectasis]] | ||
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|[[Mitral regurgitation]] | |[[Mitral regurgitation]] | ||
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* | * [[Left atrial enlargement]] | ||
** Convexity or straightening of the left atrial appendage just below the main [[pulmonary artery]] (along left heart border) | ** Convexity or straightening of the [[left atrial appendage]] just below the main [[pulmonary artery]] (along left heart border) | ||
** Double density sign: An addition contour superimposed over the right heart due to | ** Double density sign: An addition contour superimposed over the [[right heart]] due to [[Left atrial enlargement|left atrium enlargement]] | ||
** Elevation of the left main [[bronchus]] and splaying of the [[carina]] | ** Elevation of the left main [[bronchus]] and splaying of the [[carina]] | ||
* Upper zone venous enlargement due to [[pulmonary hypertension]] | * Upper zone venous enlargement due to [[pulmonary hypertension]] | ||
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* Globular enlargement of the cardiac shadow giving a water bottle configuration | * Globular enlargement of the cardiac shadow giving a water bottle configuration | ||
* Lateral [[CXR]]: | * Lateral [[CXR]]: | ||
** Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind sternum (epicardial fat) anteriorly | ** Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind [[sternum]] ([[Epicardial fat pad|epicardial fat]]) anteriorly | ||
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| style="background: #DCDCDC; " |Musculoskeletal involvement | | style="background: #DCDCDC; " |Musculoskeletal involvement | ||
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*Initial minor [[osteopenia]], followed by variable density | *Initial minor [[osteopenia]], followed by variable density | ||
*Gradually | *Gradually micro-fractures of the subchondral bone accumulate in the dead bone | ||
*Collapse of the [[articular]] surface | *Collapse of the [[articular]] surface | ||
*Crescent sign of [[AVN]] | *Crescent sign of [[AVN]] | ||
Revision as of 15:16, 26 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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Diagnosis |
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Treatment |
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Case Studies |
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Systemic lupus erythematosus x ray On the Web |
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American Roentgen Ray Society Images of Systemic lupus erythematosus x ray |
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Directions to Hospitals Treating Systemic lupus erythematosus |
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Risk calculators and risk factors for Systemic lupus erythematosus x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
On X ray imaging, systemic lupus erythematosus (SLE) may be characterized by different features regarding the present complication. the most common characteristic findings of SLE in X ray include:
X Ray
On X ray imaging, systemic lupus erythematosus (SLE) may be characterized by the following features, based on the organ system involvement.
More common complications
| Organ | Disease | Description |
|---|---|---|
| Gastrointestinal system | Dysphagia |
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| Enteritis |
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| Pulmonary involvement | Pleural effusion |
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| Pulmonary hypertension |
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| Acute pneumonitis |
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| Cardiac involvement | Cardiomegaly | |
| Mitral stenosis |
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| Musculoskeletal involvement | Arthritis |
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| Osteoporosis |
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Less common complications
| Organ | Disease | Description |
|---|---|---|
| Gastrointestinal system | Intestinal pseudo-obstruction |
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| Autosplenectomy |
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| Pulmonary involvement | Respiratory muscle dysfunction[1] |
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| Pulmonary hemorrhage |
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| Pulmonary emboli |
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| Shrinking lung syndrome |
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| Cardiac involvement | Mitral regurgitation |
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| Pericardial effusion |
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| Musculoskeletal involvement | Osteonecrosis (Avascular necrosis) |
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