Systemic lupus erythematosus other imaging findings: Difference between revisions

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==Overview==
==Overview==
Other imaging systems that can be used for diagnosis of systemic lupus erythematosus complications include: Fibreoptic [[bronchoscopy]] , double-contrast technique for evaluation of [[gastritis]], [[scintigraphy]] for [[hepatobiliary system]] evaluation, [[Scintigraphy|bone scintigraphy]] and [[Bone scan|bone scans]] to evaluate late bone related complications.


==Other Imaging Findings==
==Other Imaging Findings==
* Fibreoptic bronchoscopy with bronchoalveolar lavage (BAL) and transbronchial lung biopsies are usually needed to substantiate the diagnosis of alveolar hemorrhage.
* Fibreoptic [[bronchoscopy]] with [[Bronchoalveolar lavage|bronchoalveolar lavage (BAL)]] and transbronchial lung biopsies:
* In patients who represent with esophagitis due to SLE, upper gastrointestinal barium study can be performed. Possible investigations include mucosal granularity from reflux esophagitis, and, in severe cases, ulceration.
** To substantiate the diagnosis of alveolar hemorrhage
* If the patients presents with the symptoms of gastritis or peptic ulcers, the stomach and duodenum should also be evaluated using a double-contrast technique.
* Upper gastrointestinal barium study:
* If the patients presents with the symptoms of [[acute cholecystitis]], scintigraphy imaging findings can be done. The findings include gallbladder wall thickening at US and a nonfunctioning gallbladder at hepatobiliary.
** In patients who represent with [[esophagitis]] due to SLE
* Osteonecrosis:  
** Possible findings include:
** Bone scintigraphy can be non specific or shows hyperemia of the affected bone and osteogenesis due to avascular necrosis (AVN)  
*** Mucosal [[granularity]] from [[reflux esophagitis]]
** On echnetium-99m methylene diphosphonate bone scans, photopenic areas will be seen primarily that will eventually progress to osteoblasts activity and increased radiotracer uptake at the margins of the infarction
*** [[Ulceration]] in severe cases
** An abnormal intraosseous phlebogram may be diagnostic as well and by the demonstration of an elevated intramedullary pressure
* Double contrast technique:
** In the presence of [[gastritis]] or [[peptic ulcers]], for evaluation of [[stomach]] and [[duodenum]]
* [[Scintigraphy]] imaging:
** In the presence of [[acute cholecystitis]] symptoms
** Findings include:
*** Gallbladder wall thickening
*** Nonfunctioning [[gallbladder]] at [[hepatobiliary system]]
* [[Scintigraphy|Bone scintigraphy]]:
** Non specific
** May show:
*** [[Hyperemia]] of the affected bone
*** [[Osteogenesis]] due to [[Avascular necrosis|avascular necrosis (AVN)]]
* [[Technetium-99m]] methylene diphosphonate [[Bone scan|bone scans]]:
** Photopenic areas will be seen primarily that will eventually progress to [[osteoblasts]] activity and increased [[radiotracer]] uptake at the margins of the [[infarction]]
** An abnormal [[intraosseous]] [[Phlebology|phlebogram]] may be diagnostic
** May demonstrate elevated [[intramedullary]] pressure


==References==
==References==

Revision as of 16:49, 26 July 2017

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

Overview

Other imaging systems that can be used for diagnosis of systemic lupus erythematosus complications include: Fibreoptic bronchoscopy , double-contrast technique for evaluation of gastritis, scintigraphy for hepatobiliary system evaluation, bone scintigraphy and bone scans to evaluate late bone related complications.

Other Imaging Findings

References

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