Eosinophilic pneumonia other imaging findings: Difference between revisions

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==Overview==
==Overview==
==Other imaging findings==
==Other imaging findings==
no data exist on the TUS findings of acute eosinophilic pneumonia (AEP) or their clinical utility in patients with AEP.
* There is no evident role for UlltraSound in the diagnosis of eosinophilic pneumonia.  
 
* An observational study on TUS findings and their clinical utility for follow-up in patients with AEP shows that all patients exhibited multiple diffuse bilateral B-lines and lung sliding which was consistent with alveolar-interstitial syndrome.<ref name="pmid25894572">{{cite journal| author=Yoon H, Kim SJ, Kim K, Lee JE, Jhun BW| title=The utility of thoracic ultrasound in patients with acute eosinophilic pneumonia. | journal=PLoS One | year= 2015 | volume= 10 | issue= 4 | pages= e0124370 | pmid=25894572 | doi=10.1371/journal.pone.0124370 | pmc=4404353 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25894572  }}</ref>
an observational study on TUS findings and their clinical utility for follow-up in patients with AEP.
* B-line numbers fell during the course of treatment. \TUS is a useful modality for evaluating the treatment response in patients with AEP.
 
We prospectively screened patients who visited the emergency department for acute respiratory symptoms at the Armed Forces Capital Hospital in South Korea between February 2014 and July 2014. Of them, patients suspected to have AEP underwent an etiological investigation, including flexible bronchoscopy with bronchoalveolar lavage and TUS, and we evaluated TUS findings and serial changes on TUS during the treatment course compared with those from chest radiographs. In total, 22 patients with AEP were identified. The TUS examinations reveled that all patients exhibited multiple diffuse bilateral B-lines and lung sliding, with (''n'' = 5) or without pleural effusion, which was consistent with alveolar-interstitial syndrome. B-line numbers fell during the course of treatment, as the lines became thinner and fainter. A-lines were evident in 19 patients on day 7 of hospitalization, when B-lines had disappeared in 13 patients, and all pleural effusion had resolved. All patients exhibited complete ultrasonic resolution by day 14, along with clinicoradiological improvement. Chest radiographs of five patients taken on day 7 seemed to show complete resolution, but several abnormal B-lines were evident on TUS performed the same day. As a result, our data show common TUS findings of AEP and suggest that AEP may be included as a differential diagnosis when multiple diffuse bilateral B-lines with preserved lung sliding are identified on a TUS examination in patients with acute symptoms, and that TUS is a useful modality for evaluating the treatment response in patients with AEP.
 
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Revision as of 20:01, 13 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Other imaging findings

  • There is no evident role for UlltraSound in the diagnosis of eosinophilic pneumonia.
  • An observational study on TUS findings and their clinical utility for follow-up in patients with AEP shows that all patients exhibited multiple diffuse bilateral B-lines and lung sliding which was consistent with alveolar-interstitial syndrome.[1]
  • B-line numbers fell during the course of treatment. \TUS is a useful modality for evaluating the treatment response in patients with AEP.

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References

  1. Yoon H, Kim SJ, Kim K, Lee JE, Jhun BW (2015). "The utility of thoracic ultrasound in patients with acute eosinophilic pneumonia". PLoS One. 10 (4): e0124370. doi:10.1371/journal.pone.0124370. PMC 4404353. PMID 25894572.

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