Systemic lupus erythematosus x ray: Difference between revisions

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= File:Thumbprinting xray.jpeg =
= File:Thumbprinting xray.jpeg =
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| rowspan="3" style="background: #DCDCDC; " |[[Pulmonary|Pulmonary involvement]]
| rowspan="4" style="background: #DCDCDC; " |[[Pulmonary|Pulmonary involvement]]
![[Pleural effusion]]
![[Pleural effusion]]
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= File:Pleural effusion graphy.jpg =
= File:Pleural effusion graphy.jpg =
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![[Pulmonary fibrosis]]
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= File:Ddae1eb0ee1deec1a5d70aa127b608 jumbo.jpg =
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![[Pulmonary hypertension]]
![[Pulmonary hypertension]]
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*[[Hallux valgus]]
*[[Hallux valgus]]
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= File:386a52a8b0dc687cee574b7eaa00f9 jumbo.jpg =
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![[Osteoporosis]]
![[Osteoporosis]]
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**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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! style="background: #4479BA; color: #FFFFFF; " |Disease
! style="background: #4479BA; color: #FFFFFF; " |Disease
! style="background: #4479BA; color: #FFFFFF; " |Description
! style="background: #4479BA; color: #FFFFFF; " |Description
!
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| rowspan="2" style="background: #DCDCDC; " |[[Gastrointestinal]] system
| rowspan="3" style="background: #DCDCDC; " |[[Gastrointestinal]] system
![[Intestinal pseudo-obstruction]]
![[Intestinal pseudo-obstruction]]
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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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= File:Colonic-pseudo-obstruction-ogilvies-syndrome.jpg =
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![[Autosplenectomy]]
![[Autosplenectomy]]
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* Calcified [[spleen]] may be visible in the left upper quadrant
* Calcified [[spleen]] may be visible in the left upper quadrant
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![[Hepatomegaly]]
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* Enlargement of iver silhouette
* Displacing bowel loops medially
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= File:Hepatomegaly-on-abdominal-x-ray.jpg =
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| rowspan="4" style="background: #DCDCDC; " |[[Pulmonary]] involvement
| rowspan="4" style="background: #DCDCDC; " |[[Pulmonary]] involvement
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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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= File:Faa79e035d4c88b1029b3f6cd6e222 jumbo.jpeg =
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![[Pulmonary hemorrhage]]
![[Pulmonary hemorrhage]]
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*Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs
*Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs
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= File:E4b7a4cbffd49c1f7937c04e6b7c17 big gallery.jpeg =
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![[Pulmonary emboli]]
![[Pulmonary emboli]]
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*[[Westermark sign]]: Regional oligoemia
*[[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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| rowspan="2" style="background: #DCDCDC; " |[[Cardiac]] involvement
| rowspan="2" style="background: #DCDCDC; " |[[Cardiac]] involvement
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*Upper zone venous enlargement due to [[pulmonary hypertension]]
*Upper zone venous enlargement due to [[pulmonary hypertension]]
*Left [[ventricular]] enlargement is also eventually present due to volume overload
*Left [[ventricular]] enlargement is also eventually present due to volume overload
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= File:56dce39ec7860a50a4bf060db455b7 jumbo.jpeg =
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![[Pericardial effusion]]
![[Pericardial effusion]]
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*Lateral [[CXR]]:
*Lateral [[CXR]]:
**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
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= File:2958c05a9bf1f2dc6b2f83ac4f8e81 jumbo.jpeg =
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| style="background: #DCDCDC; " |[[Musculoskeletal system|Musculoskeletal involvement]]
| style="background: #DCDCDC; " |[[Musculoskeletal system|Musculoskeletal involvement]]
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*Collapse of the [[articular]] surface
*Collapse of the [[articular]] surface
*Crescent sign of [[AVN]]
*Crescent sign of [[AVN]]
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= File:Lupus-osteonecrosis-1.JPG =
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Revision as of 15:30, 1 August 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: thumb printing sign in the abdominal graphy, blunting of the costophrenic angle due to pleural effusion, cardiomegaly, and bone deformity.

X Ray

On X ray imaging, systemic lupus erythematosus (SLE) may be characterized by the following features, based on the organ system involvement.[1][2][3][4][5][6][7][8][9][10][11][12]

More common complications

Organ Disease Description
Gastrointestinal system Enteritis

File:Thumbprinting xray.jpeg

Pulmonary involvement Pleural effusion

File:Pleural effusion graphy.jpg

Pulmonary fibrosis

File:Ddae1eb0ee1deec1a5d70aa127b608 jumbo.jpg

Pulmonary hypertension

File:Pulmonary hypertension graphy.jpg

Acute pneumonitis

File:Hypersensitivity-pneumonitis.jpg

Cardiac involvement Cardiomegaly

File:270780927951f0155ba941fe2264d1 big gallery.jpg

Mitral stenosis
Musculoskeletal involvement Arthritis

File:386a52a8b0dc687cee574b7eaa00f9 jumbo.jpg

Osteoporosis

File:A015828ba66db9da16b5a57d0cb2c6 jumbo.jpeg

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

File:Colonic-pseudo-obstruction-ogilvies-syndrome.jpg

Autosplenectomy
  • Calcified spleen may be visible in the left upper quadrant
Hepatomegaly
  • Enlargement of iver silhouette
  • Displacing bowel loops medially

File:Hepatomegaly-on-abdominal-x-ray.jpg

Pulmonary involvement Respiratory muscle dysfunction
  • Elevated hemidiaphragms at CXR
  • Linear atelectasis and an ill-defined juxtadiaphragmatic areas of increased opacity

File:Faa79e035d4c88b1029b3f6cd6e222 jumbo.jpeg

Pulmonary hemorrhage
  • Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs

File:E4b7a4cbffd49c1f7937c04e6b7c17 big gallery.jpeg

Pulmonary emboli

File:8272710ac07076fc011a7e0ad2fc7a jumbo.jpg

Shrinking lung syndrome
Cardiac involvement Mitral regurgitation

File:56dce39ec7860a50a4bf060db455b7 jumbo.jpeg

Pericardial effusion
  • Globular enlargement of the cardiac shadow giving a water bottle configuration
  • Lateral CXR:

File:2958c05a9bf1f2dc6b2f83ac4f8e81 jumbo.jpeg

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

File:Lupus-osteonecrosis-1.JPG

References

  1. ↑ Appenzeller S (2013). "Magnetic resonance imaging in systemic lupus erythematosus: where do we stand?". Cogn Behav Neurol. 26 (2): 53–4. doi:10.1097/WNN.0b013e31829d5b60. PMID 23812167.
  2. ↑ Thurman JM, Serkova NJ (2015). "Non-invasive imaging to monitor lupus nephritis and neuropsychiatric systemic lupus erythematosus". F1000Res. 4: 153. doi:10.12688/f1000research.6587.2. PMC 4536614. PMID 26309728.
  3. ↑ Lin K, Lloyd-Jones DM, Li D, Liu Y, Yang J, Markl M, Carr JC (2015). "Imaging of cardiovascular complications in patients with systemic lupus erythematosus". Lupus. 24 (11): 1126–34. doi:10.1177/0961203315588577. PMC 4567427. PMID 26038342.
  4. ↑ Sarbu N, Bargalló N, Cervera R (2015). "Advanced and Conventional Magnetic Resonance Imaging in Neuropsychiatric Lupus". F1000Res. 4: 162. doi:10.12688/f1000research.6522.2. PMC 4505788. PMID 26236469.
  5. ↑ Qin H, Guo Q, Shen N, Huang X, Wu H, Zhang M, Bao C, Chen S (2014). "Chest imaging manifestations in lupus nephritis". Clin. Rheumatol. 33 (6): 817–23. doi:10.1007/s10067-014-2586-2. PMID 24696368.
  6. ↑ Goh YP, Naidoo P, Ngian GS (2013). "Imaging of systemic lupus erythematosus. Part II: gastrointestinal, renal, and musculoskeletal manifestations". Clin Radiol. 68 (2): 192–202. doi:10.1016/j.crad.2012.06.109. PMID 22901453.
  7. ↑ Gal Y, Twig G, Mozes O, Greenberg G, Hoffmann C, Shoenfeld Y (2013). "Central nervous system involvement in systemic lupus erythematosus: an imaging challenge". Isr. Med. Assoc. J. 15 (7): 382–6. PMID 23943987.
  8. ↑ Shirato M, Hisa N, Fujikura Y, Ohkuma K, Kutsuki S, Hiramatsu K (1992). "[Imaging diagnosis of lupus enteritis--especially about sonographic findings]". Nihon Igaku Hoshasen Gakkai Zasshi (in Japanese). 52 (10): 1394–9. PMID 1448334.
  9. ↑ Adachi JD, Lau A (2014). "Systemic lupus erythematosus, osteoporosis, and fractures". J. Rheumatol. 41 (10): 1913–5. doi:10.3899/jrheum.140919. PMID 25275093.
  10. ↑ Curiel R, Akin EA, Beaulieu G, DePalma L, Hashefi M (2011). "PET/CT imaging in systemic lupus erythematosus". Ann. N. Y. Acad. Sci. 1228: 71–80. doi:10.1111/j.1749-6632.2011.06076.x. PMID 21718325.
  11. ↑ Goh YP, Naidoo P, Ngian GS (2013). "Imaging of systemic lupus erythematosus. Part I: CNS, cardiovascular, and thoracic manifestations". Clin Radiol. 68 (2): 181–91. doi:10.1016/j.crad.2012.06.110. PMID 22901452.
  12. ↑ 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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