Pulmonary manifestations of wegener granulomatosis: CT findings in 57 patients and a review of the literature

被引:74
作者
Lohrmann, C [1 ]
Uhl, M [1 ]
Kotter, E [1 ]
Burger, D [1 ]
Ghanem, N [1 ]
Langer, M [1 ]
机构
[1] Univ Hosp Freiburg, Dept Radiol, Div Diagnost Radiol, D-79106 Freiburg, Germany
关键词
lung; granuloma; granuloma vasculitis; wegener granulomatosis; CT;
D O I
10.1016/j.ejrad.2004.04.016
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Wegener granulomatosis is a multisystem disease of unknown cause characterized by a necrotizing granulomatous vasculitis. In comparison to other vasculitides, the lung is the most common organ involved in wegener granulomatosis presenting with a very aggressive airways pathology and chronic relapsing course. Chest radiographs fail to describe the pattern and distribution of thoracic pathology sufficiently, and CT has shown to be more sensitive for detecting lung involvement. We present the CT findings of 57 patients with wegener granulomatosis and a review of the literature. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:471 / 477
页数:7
相关论文
共 24 条
  • [1] THORACIC MANIFESTATIONS OF WEGENER GRANULOMATOSIS - DIAGNOSIS AND COURSE
    ABERLE, DR
    GAMSU, G
    LYNCH, D
    [J]. RADIOLOGY, 1990, 174 (03) : 703 - 709
  • [2] ASBESTOS-RELATED PLEURAL AND PARENCHYMAL FIBROSIS - DETECTION WITH HIGH-RESOLUTION CT
    ABERLE, DR
    GAMSU, G
    RAY, CS
    FEUERSTEIN, IM
    [J]. RADIOLOGY, 1988, 166 (03) : 729 - 734
  • [3] Pulmonary Wegener's granulomatosis: changes at follow-up CT
    Attali, P
    Begum, R
    Ben Romdhane, H
    Valeyre, D
    Guillevin, L
    Brauner, MW
    [J]. EUROPEAN RADIOLOGY, 1998, 8 (06) : 1009 - 1013
  • [4] PNEUMOCYSTIS-CARINII PNEUMONIA - CT AND HRCT OBSERVATIONS
    BERGIN, CJ
    WIRTH, RL
    BERRY, GJ
    CASTELLINO, RA
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1990, 14 (05) : 756 - 759
  • [5] PULMONARY WEGENERS GRANULOMATOSIS - A CLINICAL AND IMAGING STUDY OF 77 CASES
    CORDIER, JF
    VALEYRE, D
    GUILLEVIN, L
    LOIRE, R
    BRECHOT, JM
    [J]. CHEST, 1990, 97 (04) : 906 - 912
  • [6] WEGENERS GRANULOMATOSIS - PROSPECTIVE CLINICAL AND THERAPEUTIC EXPERIENCE WITH 85 PATIENTS FOR 21 YEARS
    FAUCI, AS
    HAYNES, BF
    KATZ, P
    WOLFF, SM
    [J]. ANNALS OF INTERNAL MEDICINE, 1983, 98 (01) : 76 - 85
  • [7] NOMENCLATURE OF SYSTEMIC VASCULITIDES - PROPOSAL OF AN INTERNATIONAL CONSENSUS CONFERENCE
    JENNETTE, JC
    FALK, RJ
    ANDRASSY, K
    BACON, PA
    CHURG, J
    GROSS, WL
    HAGEN, EC
    HOFFMAN, GS
    HUNDER, GG
    KALLENBERG, CGM
    MCCLUSKEY, RT
    SINICO, RA
    REES, AJ
    VANES, LA
    WALDHERR, R
    WIIK, A
    [J]. ARTHRITIS AND RHEUMATISM, 1994, 37 (02): : 187 - 192
  • [8] Active disease and residual damage in treated Wegener's granulomatosis:: an observational study using pulmonary high-resolution computed tomography
    Komócsi, A
    Reuter, M
    Heller, M
    Muraközi, H
    Gross, WL
    Schnabel, A
    [J]. EUROPEAN RADIOLOGY, 2003, 13 (01) : 36 - 42
  • [9] WEGENER GRANULOMATOSIS - CT FEATURES OF PARENCHYMAL LUNG-DISEASE
    KUHLMAN, JE
    HRUBAN, RH
    FISHMAN, EK
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1991, 15 (06) : 948 - 952
  • [10] THE AMERICAN-COLLEGE-OF-RHEUMATOLOGY 1990 CRITERIA FOR THE CLASSIFICATION OF WEGENER GRANULOMATOSIS
    LEAVITT, RY
    FAUCI, AS
    BLOCH, DA
    MICHEL, BA
    HUNDER, GG
    AREND, WP
    CALABRESE, LH
    FRIES, JF
    LIE, JT
    LIGHTFOOT, RW
    MASI, AT
    MCSHANE, DJ
    MILLS, JA
    STEVENS, MB
    WALLACE, SL
    ZVAIFLER, NJ
    [J]. ARTHRITIS AND RHEUMATISM, 1990, 33 (08): : 1101 - 1107