Systemic lupus erythematosus other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Other diagnostic tests that can be used for diagnosis of complications include [[barium swallow]] for [[stricture]] diagnosis and [[ | Other diagnostic tests that can be used for diagnosis of complications include [[barium swallow]] for [[stricture]] diagnosis, [[biopsies]] of kidneys and endometrium for further diagnosis of the degree of involvement, paracentesis to evaluate body effusions, and [[arthrocentesis]] to differentiate different causes of [[arthritis]]. | ||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
=== Barium swallow or esophagography <ref name="pmid12873055">{{cite journal |vauthors=Jiménez-Alonso J, Estev D, Vera C, Sabio JM |title=Dysphagia in patients with systemic lupus erythematosus |journal=Lupus |volume=12 |issue=6 |pages=493 |year=2003 |pmid=12873055 |doi= |url=}}</ref> | === Barium swallow or esophagography === | ||
*[[Esophageal]] stricture<ref name="pmid12873055">{{cite journal |vauthors=Jiménez-Alonso J, Estev D, Vera C, Sabio JM |title=Dysphagia in patients with systemic lupus erythematosus |journal=Lupus |volume=12 |issue=6 |pages=493 |year=2003 |pmid=12873055 |doi= |url=}}</ref> | |||
**Peptic strictures that appear as smooth, tapered narrowing in the distal [[esophagus]] | **Peptic strictures that appear as smooth, tapered narrowing in the distal [[esophagus]] | ||
*[[Esophageal dilatation]] | *[[Esophageal dilatation]]<ref name="pmid12873055" /> | ||
=== Biopsy === | === Biopsy === | ||
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** Assess activity and damage (i.e., chronicity) | ** Assess activity and damage (i.e., chronicity) | ||
** Helping with classification | ** Helping with classification | ||
[[Endomyocardial]] biopsy:<ref name="pmid2684953">{{cite journal |vauthors=Salomone E, Tamburino C, Bruno G, Di Paola R, Silvestri F |title=The role of endomyocardial biopsy in the diagnosis of cardiac involvement in systemic lupus erythematosus |journal=Heart Vessels |volume=5 a|issue=1 |pages=52–3 |year=1989 |pmid=2684953 |doi= |url=}}</ref> | |||
* May be helpful in guiding treatment towards the use of [[corticosteroids]] | * [[Endomyocardial]] biopsy:<ref name="pmid2684953">{{cite journal |vauthors=Salomone E, Tamburino C, Bruno G, Di Paola R, Silvestri F |title=The role of endomyocardial biopsy in the diagnosis of cardiac involvement in systemic lupus erythematosus |journal=Heart Vessels |volume=5 a|issue=1 |pages=52–3 |year=1989 |pmid=2684953 |doi= |url=}}</ref> | ||
** May be helpful in guiding treatment towards the use of [[corticosteroids]] | |||
=== Paracentesis === | |||
* [[Paracentesis]] in the presence of the following conditions, to relieve the symptoms (treatment) and to evaluate the fluid (diagnostic): | |||
** [[Ascites]] | |||
** Massive [[pulmonary edema]] | |||
** Massive [[pericardial effusion]] and [[tamponade]] | |||
=== Arthrocentesis === | |||
* In the presence of joint effusion to differentiate between different causes of [[arthritis]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Other diagnostic tests that can be used for diagnosis of complications include barium swallow for stricture diagnosis, biopsies of kidneys and endometrium for further diagnosis of the degree of involvement, paracentesis to evaluate body effusions, and arthrocentesis to differentiate different causes of arthritis.
Other Diagnostic Studies
Barium swallow or esophagography
- Esophageal stricture[1]
- Peptic strictures that appear as smooth, tapered narrowing in the distal esophagus
- Esophageal dilatation[1]
Biopsy
- Renal biopsies:[2][3]
- Determining the degree of renal involvement
- Delineating treatment decisions and prognosis in certain clinical scenarios
- Assess activity and damage (i.e., chronicity)
- Helping with classification
- Endomyocardial biopsy:[4]
- May be helpful in guiding treatment towards the use of corticosteroids
Paracentesis
- Paracentesis in the presence of the following conditions, to relieve the symptoms (treatment) and to evaluate the fluid (diagnostic):
- Ascites
- Massive pulmonary edema
- Massive pericardial effusion and tamponade
Arthrocentesis
- In the presence of joint effusion to differentiate between different causes of arthritis
References
- ↑ 1.0 1.1 Jiménez-Alonso J, Estev D, Vera C, Sabio JM (2003). "Dysphagia in patients with systemic lupus erythematosus". Lupus. 12 (6): 493. PMID 12873055.
- ↑ Giannico G, Fogo AB (2013). "Lupus nephritis: is the kidney biopsy currently necessary in the management of lupus nephritis?". Clin J Am Soc Nephrol. 8 (1): 138–45. doi:10.2215/CJN.03400412. PMID 22977215.
- ↑ Singh A, Ghosh R, Kaur P, Golay V, Pandey R, Roychowdhury A (2014). "Protocol renal biopsy in patients with lupus nephritis: a single center experience". Saudi J Kidney Dis Transpl. 25 (4): 801–7. PMID 24969191.
- ↑ Salomone E, Tamburino C, Bruno G, Di Paola R, Silvestri F (1989). "The role of endomyocardial biopsy in the diagnosis of cardiac involvement in systemic lupus erythematosus". Heart Vessels. 5 a (1): 52–3. PMID 2684953.