Churg-Strauss syndrome chest x ray: Difference between revisions

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[[Image:Churg strauss cxr.jpg|right|thumb|CXR in a patient with Churg-Strauss syndrome showing opacification, hilar adenopathy]]
{{Churg-Strauss syndrome}}
{{Churg-Strauss syndrome}}
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{{CMG}}{{APM}}{{AE}}{{CK}}


==Overview==
==Overview==
On Chest X-ray, Eosinophilic granulomatosis with polyangiitis is characterized by bilateral multifocal consolidation that is nonsegmental, bronchial wall thickening, reticulonodular opacities, bilateral hilar adenopathy, and bilateral pleural effusion.<ref name="pmid10631208">{{cite journal| author=Choi YH, Im JG, Han BK, Kim JH, Lee KY, Myoung NH| title=Thoracic manifestation of Churg-Strauss syndrome: radiologic and clinical findings. | journal=Chest | year= 2000 | volume= 117 | issue= 1 | pages= 117-24 | pmid=10631208 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10631208  }} </ref>
On chest x-ray, [[eosinophilic granulomatosis with polyangiitis]] is characterized by bilateral multifocal nonsegmental [[Consolidation (medicine)|consolidation]], bronchial wall thickening, reticulonodular opacities, bilateral hilar adenopathy, and [[pleural effusion]].
 
==Chest X-ray==
==Chest X-ray==
* Interlobular septal thickening with or without associated peripheral [[Ground glass opacification on CT|ground glass opacities]] or consolodation
On chest x-ray, [[eosinophilic granulomatosis with polyangiitis]] may show following  findings:<ref name="pmid10631208">{{cite journal |vauthors=Choi YH, Im JG, Han BK, Kim JH, Lee KY, Myoung NH |title=Thoracic manifestation of Churg-Strauss syndrome: radiologic and clinical findings |journal=Chest |volume=117 |issue=1 |pages=117–24 |date=January 2000 |pmid=10631208 |doi= |url=}}</ref><ref name="pmid20623310">{{cite journal |vauthors=Szczeklik W, Sokołowska B, Mastalerz L, Grzanka P, Górka J, Pacułt K, Miszalski-Jamka T, Soja J, Musiał J |title=Pulmonary findings in Churg-Strauss syndrome in chest X-rays and high resolution computed tomography at the time of initial diagnosis |journal=Clin. Rheumatol. |volume=29 |issue=10 |pages=1127–34 |date=October 2010 |pmid=20623310 |doi=10.1007/s10067-010-1530-3 |url=}}</ref><ref name="pmid2721280">{{cite journal |vauthors=Erzurum SC, Underwood GA, Hamilos DL, Waldron JA |title=Pleural effusion in Churg-Strauss syndrome |journal=Chest |volume=95 |issue=6 |pages=1357–9 |date=June 1989 |pmid=2721280 |doi= |url=}}</ref>
* Transient opacities
*Bilateral multifocal and nonsegmental [[Consolidation (medicine)|consolidation]]
* Symmetrical opacities in axillary and peripheral distribution
*Bronchial wall thickening
* Hilar adenopathy
*Reticulonodular opacities
* Diffuse interstitial or miliary opacities
*Hilar [[lymphadenopathy]]
* Pulmonary hemorrhage
*[[Pleural effusion]]
* Nodular disease (without cavitation)
* [[Pleural effusion]]s (30%) – exudative and eosinophilic
<ref>Fraser RS, Müller NL, Colman N, Paré PD. Diagnosis of diseases of the chest. Fourth edition. WB Saunders Company. Philadelphia, 1999.</ref> <ref>Worthy AS, Müller NL, Hansel DM, Flower CDR. Churg-Strauss Syndrome: The spectrum of pulmonary CT findings in 17 patients. AJR 1998;170:297-300.</ref> <ref>Johkoh T, Müller NL, Akira M, Ichikado K et al. Eosinophilic lung diseases: Diagnostic accuracy of thin-section CT in 111 patients. Radiology 2000;216:773-780.</ref>


==References==
==References==

Latest revision as of 18:31, 4 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Ali Poyan Mehr, M.D. [2]Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [3]

Overview

On chest x-ray, eosinophilic granulomatosis with polyangiitis is characterized by bilateral multifocal nonsegmental consolidation, bronchial wall thickening, reticulonodular opacities, bilateral hilar adenopathy, and pleural effusion.

Chest X-ray

On chest x-ray, eosinophilic granulomatosis with polyangiitis may show following findings:[1][2][3]

References

  1. Choi YH, Im JG, Han BK, Kim JH, Lee KY, Myoung NH (January 2000). "Thoracic manifestation of Churg-Strauss syndrome: radiologic and clinical findings". Chest. 117 (1): 117–24. PMID 10631208.
  2. Szczeklik W, Sokołowska B, Mastalerz L, Grzanka P, Górka J, Pacułt K, Miszalski-Jamka T, Soja J, Musiał J (October 2010). "Pulmonary findings in Churg-Strauss syndrome in chest X-rays and high resolution computed tomography at the time of initial diagnosis". Clin. Rheumatol. 29 (10): 1127–34. doi:10.1007/s10067-010-1530-3. PMID 20623310.
  3. Erzurum SC, Underwood GA, Hamilos DL, Waldron JA (June 1989). "Pleural effusion in Churg-Strauss syndrome". Chest. 95 (6): 1357–9. PMID 2721280.

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