Systemic lupus erythematosus ultrasound or echocardiography: Difference between revisions

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!Sonography findings
!Sonography findings
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|Gastrointestinal system
|Gastrointestinal  
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*General
*General
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**Gallbladder distension
**Gallbladder distension
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|Pulmonary system<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>
|Renal
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* Generally hyperechoic kidneys
* 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]]
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|Pulmonary <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>
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* [[Pleural effusion]]
* [[Pleural effusion]]

Revision as of 21:28, 17 July 2017

Systemic lupus erythematosus Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]

Overview

On abdominal ultrasound, systemic lupus erythematosus (SLE) may present with hepatosplenomegaly, ascitis, hyperecho kidney tissue, and rarely cholecystitis. On synovial ultrasound, SLE may present with synovial effusions and synovitis. On SLE may present with decrease ejection fraction, wall motion abnormality, effusion pericarditis, and valve leaflet thickening.

Ultrasound

Ultrasound can be used for the diagnosis of systemic lupus erythematosus complications. The table below presents the main ultrasound findings regarding the organ system involvement in SLE:

Organ Sonography findings
Gastrointestinal
  • General
    • Free fluid in the abdomen suggestive of ascites
  • Liver
  • Pancreas
  • 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
Renal
  • Generally hyperechoic kidneys
  • The size of the kidneys vary depending on the duration of the involvement
Pulmonary [1]
Joints[2]
  • Synovial proliferation
  • Synovial effusions and synovitis
  • Usually no erosions (the difference between SLE and RA)
Raynaud phenomenon

Echocardiography

The main echocardiographic findings according to lupus more common cardiac involvements are[3]:

Refrences

  1. 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.
  2. 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.
  3. Nihoyannopoulos P, Gomez PM, Joshi J, Loizou S, Walport MJ, Oakley CM (1990). "Cardiac abnormalities in systemic lupus erythematosus. Association with raised anticardiolipin antibodies". Circulation. 82 (2): 369–75. PMID 2372888.