Syphilis x-ray
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
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Overview
Chest x ray is not routinely used to detect Syphilis. However, complications associated with Syphilis may be detected incidentally on x ray. Cardiovascular manifestations of syphilis may be seen as a non-specific widening of the aortic or mediastinal silhouettes on PA and lateral chest X ray. This may prompt the clinician to order further imaging studies for confirmation. Additionally, on chest x-ray, secondary pulmonary syphilis may be characterized by the bilateral infiltrates, pleural effusion, subpleural nodules, and lymphadenopathy [1][2][3][4][5]
X ray
Chest x ray is not routinely used to detect thoracic manifestations of Syphilis. However, thoracic aortic aneurysms associated with Syphilis may be detected incidentally as a widening of the aortic or mediastinal silhouettes on PA and lateral chest x ray. It remains difficult to assess the exact size accurately and further imaging studies are required to do so. [6][7]
Chest x ray
On chest x-ray, secondary pulmonary syphilis may be characterized by the following:[1][2][3][4][5]
- Bilateral infiltrates
- Pleural effusion
- Subpleural nodules
- Lymphadenopathy
References
- ↑ 1.0 1.1 Biro L, Hill AC, Kuflik EG (1968). "Secondary syphilis with unusual clinical and laboratory findings". JAMA. 206 (4): 889–91. PMID 4175712.
- ↑ 2.0 2.1 David G, Perpoint T, Boibieux A, Pialat JB, Salord H, Devouassoux M; et al. (2006). "Secondary pulmonary syphilis: report of a likely case and literature review". Clin Infect Dis. 42 (3): e11–5. doi:10.1086/499104. PMID 16392072.
- ↑ 3.0 3.1 Burger HG, Baker HW, Buckler HM, Healy DL, Kovacs GT (1988). "Advances in reproductive medicine: Australian contributions". Aust N Z J Med. 18 (3): 263–77. PMID PMC3056368 : PMC3056368 Check
|pmid=
value (help). - ↑ 4.0 4.1 Coleman DL, McPhee SJ, Ross TF, Naughton JL (1983). "Secondary syphilis with pulmonary involvement". West J Med. 138 (6): 875–8. PMC 1010855. PMID 6613117.
- ↑ 5.0 5.1 Geer LL, Warshauer DM, Delany DJ (1985). "Pulmonary nodule in secondary syphilis". Australas Radiol. 29 (3): 240–2. PMID 4074225.
- ↑ https://radiopaedia.org/articles/thoracic-aortic-aneurysm. Accessed on September 28th, 2016.
- ↑ https://radiopaedia.org/articles/ascending-aortic-aneurysm. Accessed on September 28th, 2016.