Avaliação da tomografia de alta resolução versus radiografia de tórax na doença intersticial pulmonar na esclerose sistêmica

Azevedo, Ana Beatriz Cordeiro de; Guimarães, Silvana Mangeon Meirelles; Júnior, Wilson Campos Tavares; Calderaro, Débora Cerqueira; Filho, Hilton Muniz Leão; Ferreira, Cid Sérgio; Vieira, J. N.; Andrade, Diego Correa de; Moreira, Caio

doi:10.1590/s0100-39842005000200004

Cited by 8 publications

(9 citation statements)

References 14 publications

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“…The normality of chest X-rays in the vast majority of patients confirms that this test should not be considered a first choice for interstitial impairment and that HRCT is more sensitive for the diagnosis of pre-fibrotic and potentially treatable early stages of inflammatory bowel disease [23]. The predominant respiratory symptom was cough (47%), both dry (19%) and productive (14.1%).…”

Section: Normal-n (%) Changed-n (%) P-valuementioning

confidence: 85%

“…Even though the disease evolution time was longer in patients with tomographic alteration, the honeycombing pattern was not found, considered the most advanced stage of interstitial disease [18,19]. Studies in patients with systemic sclerosis have revealed that this pre-fibrotic stage is potentially reversible when appropriate treatment of underlying disease is instituted [23]. We consider that, because VL is an acute and treatable disease, the interstitial pneumonia found is a reversible disease.…”

Section: Normal-n (%) Changed-n (%) P-valuementioning

confidence: 94%

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Pulmonary involvement in human visceral leishmaniasis: Clinical and tomographic evaluation

Bispo

Almeida

et al. 2020

PLoS ONE

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Visceral leishmaniasis (VL) is a severe, systemic and potentially lethal parasitosis. The lung, like any other organ, can be affected in VL, and interstitial pneumonitis has been described in past decades. This research aimed to bring more recent knowledge about respiratory impairment in VL, characterizing pulmonary involvement through clinical, radiographic and tomographic evaluation. This is an observational, cross-sectional study that underwent clinical evaluation, radiography and high-resolution computed tomography of the chest in patients admitted with the diagnosis of VL in a university service in Northeast Brazil, from January 2015 to July 2018. The sample consisted of 42 patients. Computed tomography was considered abnormal in 59% of patients. Images compatible with pulmonary interstitial involvement were predominant (50%). The most observed respiratory symptom was cough (33.3%), followed by tachypnea (14.1%). Chest radiography was altered in only four patients. VL is a disease characterized by systemic involvement and broad spectrum of clinical manifestations. The respiratory symptoms and tomographic alterations found show that the involvement of respiratory system in VL deserves attention because it is more common than previously thought. Chest X-ray may not reveal this impairment.

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Section: Normal-n (%) Changed-n (%) P-valuementioning

confidence: 85%

Section: Normal-n (%) Changed-n (%) P-valuementioning

confidence: 94%

Pulmonary involvement in human visceral leishmaniasis: Clinical and tomographic evaluation

Bispo

Almeida

et al. 2020

PLoS ONE

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“…Because pulmonary changes that are detectable by routine chest X-ray in only 25-53% of cases can be detected with HRCT in up to 94% of cases, HRCT is the method of choice for the investigation of interstitial lung disease in SSc (18) .…”

Section: Discussionmentioning

confidence: 99%

Tomography patterns of lung disease in systemic sclerosis

2016

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Currently, lung impairment is the leading factor responsible for the morbidity and mortality associated with systemic sclerosis. Therefore, the recognition of the various tomography patterns becomes decisive in the clinical management of these patients. In high-resolution computed tomography studies, the most common pattern is that of nonspecific interstitial pneumonia. However, there are other forms of lung involvement that must also be recognized. The aim of this study was to review the literature on the main changes resulting from pulmonary involvement in systemic sclerosis and the corresponding radiological findings, considering the current classification of interstitial diseases. We searched the Medline (PubMed), Lilacs, and SciELO databases in order to select articles related to pulmonary changes in systemic sclerosis and published in English between 2000 and 2015. The pulmonary changes seen on computed tomography in systemic sclerosis are varied and are divided into three main categories: interstitial, alveolar, and vascular. Interstitial changes constitute the most common type of pulmonary involvement in systemic sclerosis. However, alveolar and vascular manifestations must also be recognized and considered in the presence of atypical clinical presentations and inadequate treatment responses.

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“…However, it presents low sensitivity for some lesions when compared to the high-resolution computed tomography (HRCT), which can show subtle abnormalities, such as septal lines, honeycombing, parenchymal bands, and ground-glass opacity, among others [2,3]. Groundglass opacity is the increased lung attenuation in which it is still possible to identify the contours of the vessels and bronchial structures within the pulmonary area affected by a pathological process that causes a reduction in the aeration of the air spaces [4].…”

Section: Introductionmentioning

confidence: 99%

Avaliação tomográfica pulmonar tardia em prematuros com displasia broncopulmonar e persistência de canal arterial

Beani¹,

Moscardini²,

Souza³

et al. 2007

Rev Bras Cir Cardiovasc

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Late pulmonary tomography assessment in premature infants with bronchopulmonary dysplasia submitted to patent ductus arteriosus managemnent Abstract Objective: To assess through high-resolution computed tomography, the pulmonary parenchyma of children born prematurely with both very low birth weight and patent ductus arteriosus, undergoing medical or surgical treatment who developed bronchopulmonary dysplasia.Methods: Between December 2006 and January 2007, 14 children born prematurely with a birth weight of less than 1500 g with bronchopulmonary dysplasia (BPD) and patent ductus arteriosus (PDA) were submitted to high-resolution computed tomography (HRCT). Patients were divided into two groups (Group A = medical [n=6] and Group B = surgical [n=8]) and all of them underwent surgical closure of the ductus arteriosus. The pool of patients was comprised of 9 baby boys and 5 baby girls who were 36.5±4.3 month-old. The HRCT were analyzed by two independent observers and quantified in each patient. The statistical analyses were assessed using the Mann-Whitney test and p<0.05 was considered statistically significant. Results:Three patients presented normal tomography; two of group A and one of B. In Group A, the most frequent finding was multifocal ground-glass opacity. In Group B, multifocal ground-glass opacity, atelectasis, and low attenuation areas with relatively decreased number and caliber of vessels were prevalent (62.5%). There was a statistically significant difference between both groups. Group B presented higher averages in intubation time, use of oxygen, and admission. However, as to the number of injuries found on HRCT there was no statistically significant difference (p=0.0787).Conclusion: The lately use of HRCT has shown no significant difference between both medical and surgical treatment aiming at to occlude the PDA in pulmonary parenchyma injuries of premature infants with PDA who developed bronchopulmonary dysplasia.Descriptors: Tomography. Patent ductus arteriosus. Bronchopulmonary dysplasia. 401BEANI, L ET AL -Late pulmonary tomography assessment in premature infants with bronchopulmonary dysplasia submitted to patent ductus arteriosus managemnent Bras Cir Cardiovasc 2007; 22(4): 400-406 Rev

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Avaliação da tomografia de alta resolução versus radiografia de tórax na doença intersticial pulmonar na esclerose sistêmica

Cited by 8 publications

References 14 publications

Pulmonary involvement in human visceral leishmaniasis: Clinical and tomographic evaluation

Pulmonary involvement in human visceral leishmaniasis: Clinical and tomographic evaluation

Tomography patterns of lung disease in systemic sclerosis

Avaliação tomográfica pulmonar tardia em prematuros com displasia broncopulmonar e persistência de canal arterial

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