Goodpasture syndrome chest x ray: Difference between revisions
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{{ | {{Goodpasture syndrome}} | ||
{{CMG}} | {{CMG}}{{APM}}; {{AE}}{{KW}}{{Akshun}} | ||
==Overview== | ==Overview== | ||
On | On [[chest X-ray]], Goodpasture syndrome is characterized by [[parenchymal]] consolidations that are most often present in both [[lungs]], perihilar, and bibasilar. When pulmonary [[Hemorrhages|hemorrhage]] is recurrent an interstitial pattern is observed. | ||
==X Ray== | ==X Ray== | ||
On chest X-ray, Goodpasture syndrome is characterized by parenchymal consolidations that are often present in both lungs, perihilar, and bibasilar. | *On chest X-ray, Goodpasture syndrome is characterized by [[parenchymal]] [[Consolidation (medicine)|consolidations]].<ref name="pmid25462583">{{cite journal| author=Greco A, Rizzo MI, De Virgilio A, Gallo A, Fusconi M, Pagliuca G et al.| title=Goodpasture's syndrome: a clinical update. | journal=Autoimmun Rev | year= 2015 | volume= 14 | issue= 3 | pages= 246-53 | pmid=25462583 | doi=10.1016/j.autrev.2014.11.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25462583 }} </ref><ref name="Diffuse-alveolar-haemorrhage-in-goodpasture-syndrome">Case courtesy of Dr Sajoscha Sorrentino. https://radiopaedia.org/cases/14859 Accessed on November 4, 2016 </ref> | ||
*Patients with Goodpasture syndrome have [[parenchymal]] [[Consolidation (medicine)|consolidations]] from [[autoantibody]] induced [[inflammatory]] lesions that are most often present bilaterally in both [[lungs]], the perihilar, and bibasilar regions. | |||
*Unusual locations for parenchymal consolidations include the apices and the [[Costophrenic angle|costophrenic angles.]]<ref name="pmid4935099">{{cite journal |vauthors=Halgrimson CG, Wilson CB, Dixon FJ, Anderson JT, Ogden DA, Starzl TE |title=Goodpasture's syndrome. Treatment with nephrectomy and renal transplantation |journal=Arch Surg |volume=103 |issue=2 |pages=283–9 |date=August 1971 |pmid=4935099 |pmc=2980293 |doi= |url=}}</ref> | |||
*Patients with Goodpasture's however, may not show any signs of parenchymal [[Consolidation (medicine)|consolidation]], during the early stage of disease and in fact 18% of patients may present with no abnormal findings.<ref name="pmid466941">{{cite journal |vauthors=Bowley NB, Steiner RE, Chin WS |title=The chest X-ray in antiglomerular basement membrane antibody disease (Goodpasture's syndrome) |journal=Clin Radiol |volume=30 |issue=4 |pages=419–29 |date=July 1979 |pmid=466941 |doi= |url=}}</ref> | |||
*When [[pulmonary hemorrhage]] is recurrent an [[Interstitial lung disease|interstitial]] pattern is observed. | |||
[[File:Diffuse-alveolar-haemorrhage-in-goodpasture-syndrome.jpg|thumb|center|Note: Diffuse alveolar hemorrhage throughout both lung fields in Goodpasture syndrome ([Case courtesy of Dr Sajoscha Sorrentino, <nowiki><a href="https://radiopaedia.org/">Radiopaedia.org</a></nowiki>])]] | |||
==References== | ==References== | ||
Latest revision as of 14:42, 19 July 2018
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Goodpasture syndrome Microchapters |
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Treatment |
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Case Studies |
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Goodpasture syndrome chest x ray On the Web |
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American Roentgen Ray Society Images of Goodpasture syndrome chest x ray |
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Risk calculators and risk factors for Goodpasture syndrome chest x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Ali Poyan Mehr, M.D. [2]; Associate Editor(s)-in-Chief: Krzysztof Wierzbicki M.D. [3] Akshun Kalia M.B.B.S.[4]
Overview
On chest X-ray, Goodpasture syndrome is characterized by parenchymal consolidations that are most often present in both lungs, perihilar, and bibasilar. When pulmonary hemorrhage is recurrent an interstitial pattern is observed.
X Ray
- On chest X-ray, Goodpasture syndrome is characterized by parenchymal consolidations.[1][2]
- Patients with Goodpasture syndrome have parenchymal consolidations from autoantibody induced inflammatory lesions that are most often present bilaterally in both lungs, the perihilar, and bibasilar regions.
- Unusual locations for parenchymal consolidations include the apices and the costophrenic angles.[3]
- Patients with Goodpasture's however, may not show any signs of parenchymal consolidation, during the early stage of disease and in fact 18% of patients may present with no abnormal findings.[4]
- When pulmonary hemorrhage is recurrent an interstitial pattern is observed.
References
- ↑ Greco A, Rizzo MI, De Virgilio A, Gallo A, Fusconi M, Pagliuca G; et al. (2015). "Goodpasture's syndrome: a clinical update". Autoimmun Rev. 14 (3): 246–53. doi:10.1016/j.autrev.2014.11.006. PMID 25462583.
- ↑ Case courtesy of Dr Sajoscha Sorrentino. https://radiopaedia.org/cases/14859 Accessed on November 4, 2016
- ↑ Halgrimson CG, Wilson CB, Dixon FJ, Anderson JT, Ogden DA, Starzl TE (August 1971). "Goodpasture's syndrome. Treatment with nephrectomy and renal transplantation". Arch Surg. 103 (2): 283–9. PMC 2980293. PMID 4935099.
- ↑ Bowley NB, Steiner RE, Chin WS (July 1979). "The chest X-ray in antiglomerular basement membrane antibody disease (Goodpasture's syndrome)". Clin Radiol. 30 (4): 419–29. PMID 466941.