Lupus nephritis echocardiography or ultrasound: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
Line 16: Line 16:
There are no echocardiography/ultrasound  findings associated with [disease name]. However, an echocardiography/ultrasound  may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].
There are no echocardiography/ultrasound  findings associated with [disease name]. However, an echocardiography/ultrasound  may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].


==Echocardiography/Ultrasound==
==Ultrasound==


*There are no echocardiography/ultrasound findings associated with [disease name].
==Ultrasound==
OR
Ultrasound can be used for the diagnosis of systemic lupus erythematosus complications. It can also be used for screening and monitoring the disease activity during pregnancy.<ref name="pmid21144639">{{cite journal |vauthors=Giancotti A, Spagnuolo A, Bisogni F, D'Ambrosio V, Pasquali G, Panici PB |title=Pregnancy and systemic lupus erythematosus: role of ultrasound monitoring |journal=Eur. J. Obstet. Gynecol. Reprod. Biol. |volume=154 |issue=2 |pages=233–4 |year=2011 |pmid=21144639 |doi=10.1016/j.ejogrb.2010.10.020 |url=}}</ref> The table below presents the main ultrasound findings regarding the organ system involvement in SLE:<ref name="pmid25716942">{{cite journal |vauthors=Lins CF, Santiago MB |title=Ultrasound evaluation of joints in systemic lupus erythematosus: a systematic review |journal=Eur Radiol |volume=25 |issue=9 |pages=2688–92 |year=2015 |pmid=25716942 |doi=10.1007/s00330-015-3670-y |url=}}</ref><ref name="pmid22934226">{{cite journal |vauthors=Virdi RP, Bashir A, Shahzad G, Iqbal J, Mejia JO |title=Diffuse alveolar hemorrhage: a rare life-threatening condition in systemic lupus erythematosus |journal=Case Rep Pulmonol |volume=2012 |issue= |pages=836017 |year=2012 |pmid=22934226 |pmc=3420594 |doi=10.1155/2012/836017 |url=}}</ref><ref name="pmid19473577">{{cite journal |vauthors=Ossandon A, Iagnocco A, Alessandri C, Priori R, Conti F, Valesini G |title=Ultrasonographic depiction of knee joint alterations in systemic lupus erythematosus |journal=Clin. Exp. Rheumatol. |volume=27 |issue=2 |pages=329–32 |year=2009 |pmid=19473577 |doi= |url=}}</ref><ref name="pmid24231444">{{cite journal |vauthors=Iagnocco A, Ceccarelli F, Rizzo C, Truglia S, Massaro L, Spinelli FR, Vavala C, Valesini G, Conti F |title=Ultrasound evaluation of hand, wrist and foot joint synovitis in systemic lupus erythematosus |journal=Rheumatology (Oxford) |volume=53 |issue=3 |pages=465–72 |year=2014 |pmid=24231444 |doi=10.1093/rheumatology/ket376 |url=}}</ref>
*Echocardiography/ultrasound may be helpful in the diagnosis of [disease name]. Findings on an echocardiography/ultrasound suggestive of/diagnostic of [disease name] include:
 
**[Finding 1]
{| class="wikitable"
**[Finding 2]
! style="background: #4479BA; color: #FFFFFF; " |Organ
**[Finding 3]
! style="background: #4479BA; color: #FFFFFF; " |Sonography findings
OR
! style="background: #4479BA; color: #FFFFFF; " |Preview
*There are no echocardiography/ultrasound findings associated with [disease name]. However, an echocardiography/ultrasound may be helpful in the diagnosis of complications of [disease name], which include:
|-
**[Complication 1]
| style="background: #DCDCDC; " |<small><small>[[Gastrointestinal]]</small></small>
**[Complication 2]
|
**[Complication 3]
*General
**Free fluid in the [[abdomen]] suggestive of [[ascites]]
*[[Liver]]
**[[Hepatomegaly]]
**[[Hepatic steatosis]]
*[[Pancreas]]
**Hypoechoic [[necrosis]] regions
**May accompany vascular complications, e.g. [[thrombosis]]
*[[Spleen]]
**[[Splenomegaly]]
**In cases of [[autosplenectomy]], ultrasound will either not be able to demonstrate a spleen at all, or identify a small irregular and shadowing [[nodule]] in the splenic bed
*[[Cholecystitis]]
**[[Gallbladder wall thickening]] (>3 mm) and pericholecystic fluid
**Positive murphy sign
**[[Gallbladder]] distension
|
[[File:3fc11253ba09067fb09f32399ba387 big gallery.jpg|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]]
 
[[File:Acute-acalculous-cholecystitis-1.jpg|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]]
|-
| style="background: #DCDCDC; " |<small><small>[[Renal]]</small></small>
|
* Generally hyperechoic kidneys
* Loss of corticomedullary differentiation
* The size of the [[kidneys]] vary depending on the duration of the involvement
** Small and diffusely echogenic kidneys mostly on SLE-related [[chronic renal failure]]
|
|-
| style="background: #DCDCDC; " |<small><small>[[Pulmonary ]]</small></small>
|
* [[Pleural effusion]]
** Echo-free space between the [[Visceral pleura|visceral]] and [[parietal pleura]]
|
[[File:Subpulmonic effusion on ultrasonography.jpg|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]]
|-
| style="background: #DCDCDC; " |<small><small>[[Joints]]</small></small>
|
* [[Synovial]] proliferation
* [[Synovial]] effusions and subclinical [[synovitis]]
* Usually no erosions (the difference between SLE and [[RA]])
* Tenosynovitis
** Global thickening with effusion in the sheath of [[tendon]]
|
[[File:Extensor-carpi-ulnaris-tenosynovitis-1.jpg|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]]  
|-
| style="background: #DCDCDC; " |<small><small>[[Raynaud phenomenon]]</small></small>
|
* [[Doppler sonography]]
** In the presence of [[Raynaud phenomenon]], may show flow volume and vessel size irregularities
|
|}


==References==
==References==

Revision as of 16:11, 20 July 2018

Lupus nephritis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Lupus nephritis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Lupus nephritis echocardiography or ultrasound On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Lupus nephritis echocardiography or ultrasound

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Lupus nephritis echocardiography or ultrasound

CDC on Lupus nephritis echocardiography or ultrasound

Lupus nephritis echocardiography or ultrasound in the news

Blogs on Lupus nephritis echocardiography or ultrasound

Directions to Hospitals Treating Lupus nephritis

Risk calculators and risk factors for Lupus nephritis echocardiography or ultrasound

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

There are no echocardiography/ultrasound findings associated with [disease name].

OR

Echocardiography/ultrasound may be helpful in the diagnosis of [disease name]. Findings on an echocardiography/ultrasound suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

There are no echocardiography/ultrasound findings associated with [disease name]. However, an echocardiography/ultrasound may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].

Ultrasound

Ultrasound

Ultrasound can be used for the diagnosis of systemic lupus erythematosus complications. It can also be used for screening and monitoring the disease activity during pregnancy.[1] The table below presents the main ultrasound findings regarding the organ system involvement in SLE:[2][3][4][5]

Organ Sonography findings Preview
Gastrointestinal
Adapted from Radiopaedia
Adapted from Radiopaedia
Renal
  • Generally hyperechoic kidneys
  • Loss of corticomedullary differentiation
  • The size of the kidneys vary depending on the duration of the involvement
Pulmonary
Adapted from Radiopaedia
Joints
  • Synovial proliferation
  • Synovial effusions and subclinical synovitis
  • Usually no erosions (the difference between SLE and RA)
  • Tenosynovitis
    • Global thickening with effusion in the sheath of tendon
Adapted from Radiopaedia
Raynaud phenomenon

References

  1. ↑ Giancotti A, Spagnuolo A, Bisogni F, D'Ambrosio V, Pasquali G, Panici PB (2011). "Pregnancy and systemic lupus erythematosus: role of ultrasound monitoring". Eur. J. Obstet. Gynecol. Reprod. Biol. 154 (2): 233–4. doi:10.1016/j.ejogrb.2010.10.020. PMID 21144639.
  2. ↑ Lins CF, Santiago MB (2015). "Ultrasound evaluation of joints in systemic lupus erythematosus: a systematic review". Eur Radiol. 25 (9): 2688–92. doi:10.1007/s00330-015-3670-y. PMID 25716942.
  3. ↑ Virdi RP, Bashir A, Shahzad G, Iqbal J, Mejia JO (2012). "Diffuse alveolar hemorrhage: a rare life-threatening condition in systemic lupus erythematosus". Case Rep Pulmonol. 2012: 836017. doi:10.1155/2012/836017. PMC 3420594. PMID 22934226.
  4. ↑ Ossandon A, Iagnocco A, Alessandri C, Priori R, Conti F, Valesini G (2009). "Ultrasonographic depiction of knee joint alterations in systemic lupus erythematosus". Clin. Exp. Rheumatol. 27 (2): 329–32. PMID 19473577.
  5. ↑ Iagnocco A, Ceccarelli F, Rizzo C, Truglia S, Massaro L, Spinelli FR, Vavala C, Valesini G, Conti F (2014). "Ultrasound evaluation of hand, wrist and foot joint synovitis in systemic lupus erythematosus". Rheumatology (Oxford). 53 (3): 465–72. doi:10.1093/rheumatology/ket376. PMID 24231444.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Lupus_nephritis_echocardiography_or_ultrasound&oldid=1484108"