Scleroderma x ray: Difference between revisions

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==Overview==
An [[x-ray]] of the chest may be helpful in the diagnosis of scleroderma [[interstitial lung disease]], and [[pulmonary fibrosis]]. Although it is usually not as sensitive as [[HRCT]], findings on an [[x-ray]] suggestive of scleroderma [[interstitial lung disease]] include [[interstitial]] opacification, reticular areas of [[attenuation]], ground glass opacity greatest at [[lung]] bases.


==Overview==
==X Ray==
==X Ray==
The following image shows an x ray of a patient with scleroderma.
An [[x-ray]] of the chest may be helpful in the diagnosis of scleroderma [[interstitial lung disease]] and [[pulmonary fibrosis]]. Although it is usually not as sensitive as [[HRCT]], findings on an [[x-ray]] suggestive of scleroderma [[interstitial lung disease]] include:<ref name="pmid2389033">{{cite journal |vauthors=Schurawitzki H, Stiglbauer R, Graninger W, Herold C, Pölzleitner D, Burghuber OC, Tscholakoff D |title=Interstitial lung disease in progressive systemic sclerosis: high-resolution CT versus radiography |journal=Radiology |volume=176 |issue=3 |pages=755–9 |date=September 1990 |pmid=2389033 |doi=10.1148/radiology.176.3.2389033 |url=}}</ref><ref name="pmid5966290">{{cite journal |vauthors=Bianchi FA, Bistue AR, Wendt VE, Puro HE, Keech MK |title=Analysis of twenty-seven cases of progressive systemic sclerosis (including two with combined systemic lupus erythematosus) and a review of the literature |journal=J Chronic Dis |volume=19 |issue=9 |pages=953–77 |date=September 1966 |pmid=5966290 |doi= |url=}}</ref>
<div align="left">
*[[Interstitial]] opacification
<gallery heights="200" widths="200">
*Reticular areas of [[attenuation]] ([[interstitial]] thickening)
Image:Scleroderma-301.jpg|MCP, PIP and DIP joints destructions in patient with Scleroderma.
*Increased ground glass opacity
</gallery>
*Low [[lung]] volume
</div>
Most cases of [[interstitial lung disease]] and [[pulmonary fibrosis]] in scleroderma will appear normal earlier in the disease on [[radiography]], therefore it is recommended to perform [[HRCT]] scan of the chest as it is more sensitive in detecting changes earlier in the disease.
==Sources==
 
Copyleft image obtained courtesy of RadsWiki [http://www.radswiki.net]
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


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Latest revision as of 16:10, 10 May 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]

Overview

An x-ray of the chest may be helpful in the diagnosis of scleroderma interstitial lung disease, and pulmonary fibrosis. Although it is usually not as sensitive as HRCT, findings on an x-ray suggestive of scleroderma interstitial lung disease include interstitial opacification, reticular areas of attenuation, ground glass opacity greatest at lung bases.

X Ray

An x-ray of the chest may be helpful in the diagnosis of scleroderma interstitial lung disease and pulmonary fibrosis. Although it is usually not as sensitive as HRCT, findings on an x-ray suggestive of scleroderma interstitial lung disease include:[1][2]

Most cases of interstitial lung disease and pulmonary fibrosis in scleroderma will appear normal earlier in the disease on radiography, therefore it is recommended to perform HRCT scan of the chest as it is more sensitive in detecting changes earlier in the disease.

References

  1. Schurawitzki H, Stiglbauer R, Graninger W, Herold C, Pölzleitner D, Burghuber OC, Tscholakoff D (September 1990). "Interstitial lung disease in progressive systemic sclerosis: high-resolution CT versus radiography". Radiology. 176 (3): 755–9. doi:10.1148/radiology.176.3.2389033. PMID 2389033.
  2. Bianchi FA, Bistue AR, Wendt VE, Puro HE, Keech MK (September 1966). "Analysis of twenty-seven cases of progressive systemic sclerosis (including two with combined systemic lupus erythematosus) and a review of the literature". J Chronic Dis. 19 (9): 953–77. PMID 5966290.

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