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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|Gastrointestinal system
|[[Gastrointestinal system]]
|[[Enteritis]]
|[[Enteritis]]
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* Small bowel wall thickening
* [[Small bowel]] wall thickening
** [[Thumbprinting|Thumbprinting sign]]
** [[Thumbprinting|Thumbprinting sign]]
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|-
| rowspan="3" style="background: #DCDCDC; " |Pulmonary involvement
| rowspan="3" style="background: #DCDCDC; " |[[Pulmonary|Pulmonary involvement]]
|[[Pleural effusion]]
|[[Pleural effusion]]
|
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*[[Bilateral]] patchy airspace opacification
*[[Bilateral]] patchy airspace opacification
|-
|-
| rowspan="2" style="background: #DCDCDC; " |Cardiac involvement
| rowspan="2" style="background: #DCDCDC; " |[[Cardiac|Cardiac involvement]]
|[[Cardiomegaly]]
|[[Cardiomegaly]]
|
|
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*Splaying of the subcarinal angle (>120 degrees)
*Splaying of the subcarinal angle (>120 degrees)
|-
|-
| rowspan="2" style="background: #DCDCDC; " |Musculoskeletal involvement
| rowspan="2" style="background: #DCDCDC; " |[[Musculoskeletal system|Musculoskeletal]] involvement
|[[Arthritis]]
|[[Arthritis]]
|
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! style="background: #4479BA; color: #FFFFFF; " |Description
! style="background: #4479BA; color: #FFFFFF; " |Description
|-
|-
| rowspan="2" style="background: #DCDCDC; " |Gastrointestinal system
| rowspan="2" style="background: #DCDCDC; " |[[Gastrointestinal]] system
|[[Intestinal pseudo-obstruction]]
|[[Intestinal pseudo-obstruction]]
|
|
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* Calcified [[spleen]] may be visible in the left upper quadrant
* Calcified [[spleen]] may be visible in the left upper quadrant
|-
|-
| rowspan="4" style="background: #DCDCDC; " |Pulmonary involvement
| rowspan="4" style="background: #DCDCDC; " |[[Pulmonary]] involvement
|[[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>
|[[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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*Basal [[atelectasis]] 
*Basal [[atelectasis]] 
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| rowspan="2" style="background: #DCDCDC; " |Cardiac involvement
| rowspan="2" style="background: #DCDCDC; " |[[Cardiac]] involvement
|[[Mitral regurgitation]]
|[[Mitral regurgitation]]
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**Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind [[sternum]] ([[Epicardial fat pad|epicardial fat]]) anteriorly
**Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind [[sternum]] ([[Epicardial fat pad|epicardial fat]]) anteriorly
|-
|-
| style="background: #DCDCDC; " |Musculoskeletal involvement
| style="background: #DCDCDC; " |[[Musculoskeletal system|Musculoskeletal involvement]]
|[[Osteonecrosis]] ([[Avascular necrosis]])
|[[Osteonecrosis]] ([[Avascular necrosis]])
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|

Revision as of 20:52, 26 July 2017

Systemic lupus erythematosus Microchapters

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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 Enteritis
Pulmonary involvement Pleural effusion
Pulmonary hypertension
Acute pneumonitis
Cardiac involvement Cardiomegaly
Mitral stenosis
Musculoskeletal involvement Arthritis
Osteoporosis

Less common complications

Organ Disease Description
Gastrointestinal system Intestinal pseudo-obstruction
  • Dilated bowel loops with or without the presence of fluid levels
  • Erect chest radiographs for perforation evaluating
Autosplenectomy
  • Calcified spleen may be visible in the left upper quadrant
Pulmonary involvement Respiratory muscle dysfunction[1]
  • Elevated hemidiaphragms at CXR
  • Linear atelectasis and an ill-defined juxtadiaphragmatic areas of increased opacity
Pulmonary hemorrhage
  • Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs
Pulmonary emboli
Shrinking lung syndrome
Cardiac involvement Mitral regurgitation
Pericardial effusion
  • Globular enlargement of the cardiac shadow giving a water bottle configuration
  • Lateral CXR:
Musculoskeletal involvement Osteonecrosis (Avascular necrosis)
  • Initial minor osteopenia, followed by variable density
  • Gradually micro-fractures of the subchondral bone accumulate in the dead bone
  • Collapse of the articular surface
  • Crescent sign of AVN

References

  1. Rockall AG, Rickards D, Shaw PJ (2001). "Imaging of the pulmonary manifestations of systemic disease". Postgrad Med J. 77 (912): 621–38. PMC 1742125. PMID 11571369.

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