Systemic lupus erythematosus other imaging findings: Difference between revisions

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==Other Imaging Findings==
==Other Imaging Findings==
* Fibreoptic [[bronchoscopy]] with [[Bronchoalveolar lavage|bronchoalveolar lavage (BAL)]] and transbronchial lung biopsies:
* Fibreoptic [[bronchoscopy]] with [[Bronchoalveolar lavage|bronchoalveolar lavage (BAL)]] and transbronchial lung biopsies:<ref name="pmid16409858">{{cite journal |vauthors=Shen M, Wang Y, Xu WB, Zeng XJ, Zhang FC |title=[Pleuropulmonary manifestations of systemic lupus erythematosus] |language=Chinese |journal=Zhonghua Yi Xue Za Zhi |volume=85 |issue=48 |pages=3392–5 |year=2005 |pmid=16409858 |doi= |url=}}</ref><ref name="pmid9187214">{{cite journal |vauthors=Susanto I, Peters JI |title=Acute lupus pneumonitis with normal chest radiograph |journal=Chest |volume=111 |issue=6 |pages=1781–3 |year=1997 |pmid=9187214 |doi= |url=}}</ref><ref name="pmid16409858">{{cite journal |vauthors=Shen M, Wang Y, Xu WB, Zeng XJ, Zhang FC |title=[Pleuropulmonary manifestations of systemic lupus erythematosus] |language=Chinese |journal=Zhonghua Yi Xue Za Zhi |volume=85 |issue=48 |pages=3392–5 |year=2005 |pmid=16409858 |doi= |url=}}</ref>
** To substantiate the diagnosis of alveolar hemorrhage
** To substantiate the diagnosis of alveolar hemorrhage
* Upper gastrointestinal barium study:
* Upper gastrointestinal barium study:<ref name="pmid9833786">{{cite journal |vauthors=Hizawa K, Iida M, Aoyagi K, Jo Y, Matsumoto T, Yao T, Yao T, Fujishima M |title=Double-contrast radiographic assessment of lupus-associated enteropathy |journal=Clin Radiol |volume=53 |issue=11 |pages=825–9 |year=1998 |pmid=9833786 |doi= |url=}}</ref>
** In patients who represent with [[esophagitis]] due to SLE
** In patients who represent with [[esophagitis]] due to SLE
** Possible findings include:
** Possible findings include:
*** Mucosal [[granularity]] from [[reflux esophagitis]]
*** Mucosal [[granularity]] from [[reflux esophagitis]]
*** [[Ulceration]] in severe cases
*** [[Ulceration]] in severe cases
* Double contrast technique:
* Double contrast technique:<ref name="pmid9833786">{{cite journal |vauthors=Hizawa K, Iida M, Aoyagi K, Jo Y, Matsumoto T, Yao T, Yao T, Fujishima M |title=Double-contrast radiographic assessment of lupus-associated enteropathy |journal=Clin Radiol |volume=53 |issue=11 |pages=825–9 |year=1998 |pmid=9833786 |doi= |url=}}</ref>
** In the presence of [[gastritis]] or [[peptic ulcers]], for evaluation of [[stomach]] and [[duodenum]]
** In the presence of [[gastritis]] or [[peptic ulcers]], for evaluation of [[stomach]] and [[duodenum]]
* [[Scintigraphy]] imaging:
* [[Scintigraphy]] imaging:<ref name="pmid26825210">{{cite journal |vauthors=Tsai SC, Hsieh TY, Huang PW, Lin WY |title=Absolute Quantitative Evaluation of 67Ga Scintigraphy in Lupus Nephritis |journal=Clin Nucl Med |volume=41 |issue=6 |pages=442–6 |year=2016 |pmid=26825210 |doi=10.1097/RLU.0000000000001108 |url=}}</ref><ref name="pmid9712384">{{cite journal |vauthors=Lin WY, Cheng KY, Wang SJ |title=Ga-67 scintigraphy in lupus nephritis |journal=Clin Nucl Med |volume=23 |issue=8 |pages=517–20 |year=1998 |pmid=9712384 |doi= |url=}}</ref>
** In the presence of [[acute cholecystitis]] symptoms
** In the presence of [[acute cholecystitis]] symptoms
** Findings include:
** Findings include:
*** Gallbladder wall thickening
*** Gallbladder wall thickening
*** Nonfunctioning [[gallbladder]] at [[hepatobiliary system]]
*** Nonfunctioning [[gallbladder]] at [[hepatobiliary system]]
* [[Scintigraphy|Bone scintigraphy]]:
* [[Scintigraphy|Bone scintigraphy]]:<ref name="pmid9330932">{{cite journal |vauthors=Van de Wiele C, Van den Bosch F, Mielants H, Simons M, Veys EM, Dierckx RA |title=Bone scintigraphy of the hands in early stage lupus erythematosus and rheumatoid arthritis |journal=J. Rheumatol. |volume=24 |issue=10 |pages=1916–21 |year=1997 |pmid=9330932 |doi= |url=}}</ref>
** Non specific
** Non specific
**Hand [[scintigraphy]] may be useful to differentiate SLE from RA in early stage disease<ref name="pmid9330932">{{cite journal |vauthors=Van de Wiele C, Van den Bosch F, Mielants H, Simons M, Veys EM, Dierckx RA |title=Bone scintigraphy of the hands in early stage lupus erythematosus and rheumatoid arthritis |journal=J. Rheumatol. |volume=24 |issue=10 |pages=1916–21 |year=1997 |pmid=9330932 |doi= |url=}}</ref>
** May show:
** May show:
*** [[Hyperemia]] of the affected bone
*** [[Hyperemia]] of the affected bone

Revision as of 19:10, 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

  1. 1.0 1.1 Shen M, Wang Y, Xu WB, Zeng XJ, Zhang FC (2005). "[Pleuropulmonary manifestations of systemic lupus erythematosus]". Zhonghua Yi Xue Za Zhi (in Chinese). 85 (48): 3392–5. PMID 16409858.
  2. Susanto I, Peters JI (1997). "Acute lupus pneumonitis with normal chest radiograph". Chest. 111 (6): 1781–3. PMID 9187214.
  3. 3.0 3.1 Hizawa K, Iida M, Aoyagi K, Jo Y, Matsumoto T, Yao T, Yao T, Fujishima M (1998). "Double-contrast radiographic assessment of lupus-associated enteropathy". Clin Radiol. 53 (11): 825–9. PMID 9833786.
  4. Tsai SC, Hsieh TY, Huang PW, Lin WY (2016). "Absolute Quantitative Evaluation of 67Ga Scintigraphy in Lupus Nephritis". Clin Nucl Med. 41 (6): 442–6. doi:10.1097/RLU.0000000000001108. PMID 26825210.
  5. Lin WY, Cheng KY, Wang SJ (1998). "Ga-67 scintigraphy in lupus nephritis". Clin Nucl Med. 23 (8): 517–20. PMID 9712384.
  6. 6.0 6.1 Van de Wiele C, Van den Bosch F, Mielants H, Simons M, Veys EM, Dierckx RA (1997). "Bone scintigraphy of the hands in early stage lupus erythematosus and rheumatoid arthritis". J. Rheumatol. 24 (10): 1916–21. PMID 9330932.

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