The “rheumatic lung” in computed tomography: radiological manifestations of rheumatoid arthritis

被引：0

作者：

Maier S. ^{[1
]}

Bonella F. ^{[2
]}

Kühl H. ^{[3
]}

机构：

[1] Institut für Diagnostische und Interventionelle Radiologie und Neuroradiologie, Universitätsklinikum Essen, Hufelandstraße 55, Essen

[2] Schwerpunkt interstitielle und seltene Lungenkrankheiten, Klinik für Pneumologie, Ruhrlandklinik, Universitätsmedizin Essen, Tüschener Weg 40, Essen

[3] Klinik für Radiologie, St. Bernhard-Hospital Kamp-Lintfort, Bürgermeister-Schmelzing-Straße 90, Kamp-Lintfort

来源：

Der Pneumologe | 2018年 / 15卷 / 6期

关键词：

Diagnostic techniques and procedures; High resolution computed tomography; Interstitial lung diseases; Rheumatoid arthritis; Usual interstitial pneumonia;

D O I：

10.1007/s10405-018-0203-9

中图分类号：

学科分类号：

摘要：

Thoracic non-cardiac manifestations of rheumatoid arthritis (RA) pose a diagnostic challenge. In addition to a well-functioning interdisciplinary collaboration a profound knowledge of the different manifestations and their radiological correlates is required. Intrapulmonary vessels, lung parenchyma and pleura can be affected in addition to the respiratory tract including the small airways. Interstitial lung disease with a usual interstitial pneumonia (UIP) pattern is a frequent pulmonary manifestation. Therefore, high-resolution computed tomography is the method of choice for diagnostic imaging of pulmonary manifestations of RA. The presence of potential drug-induced toxic parenchymal lesions superimposing pre-existing pulmonary findings represents a further diagnostic challenge and may complicate the image interpretation. Opportunistic infections, induced by immunosuppressive medications, can further complicate the identification and diagnosis of thoracic RA manifestation. © 2018, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

引用

页码：419 / 427

页数：8

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