Goodpasture syndrome chest x ray
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Ali Poyan Mehr, M.D. [2]; Associate Editor(s)-in-Chief: Krzysztof Wierzbicki M.D. [3] Akshun Kalia M.B.B.S.[4]
Overview
Overview
On chest X-ray, Goodpasture syndrome is characterized by parenchymal consolidations that are most often present in both lungs, perihilar, and bibasilar. When pulmonary hemorrhage is recurrent an interstitial pattern is observed.
X Ray
X Ray
- On chest X-ray, Goodpasture syndrome is characterized by parenchymal consolidations.[1][2]
- Patients with Goodpasture syndrome have parenchymal consolidations from autoantibody induced inflammatory lesions that are most often present bilaterally in both lungs, the perihilar, and bibasilar regions.
- Unusual locations for parenchymal consolidations include the apices and the costophrenic angles.[3]
- Patients with Goodpasture’s however, may not show any signs of parenchymal consolidation, during the early stage of disease and in fact 18% of patients may present with no abnormal findings.[4]
- When pulmonary hemorrhage is recurrent an interstitial pattern is observed.
References
References
- ↑ Greco A, Rizzo MI, De Virgilio A, Gallo A, Fusconi M, Pagliuca G; et al. (2015). “Goodpasture’s syndrome: a clinical update”. Autoimmun Rev. 14 (3): 246–53. doi:10.1016/j.autrev.2014.11.006. PMID 25462583.
- ↑ Case courtesy of Dr Sajoscha Sorrentino. https://radiopaedia.org/cases/14859 Accessed on November 4, 2016
- ↑ Halgrimson CG, Wilson CB, Dixon FJ, Anderson JT, Ogden DA, Starzl TE (August 1971). “Goodpasture’s syndrome. Treatment with nephrectomy and renal transplantation”. Arch Surg. 103 (2): 283–9. PMC 2980293. PMID 4935099.
- ↑ Bowley NB, Steiner RE, Chin WS (July 1979). “The chest X-ray in antiglomerular basement membrane antibody disease (Goodpasture’s syndrome)”. Clin Radiol. 30 (4): 419–29. PMID 466941.
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