Document Detail

Chest X-ray in collagen vascular diseases. A comparison of chest X-ray with bronchoalveolar lavage and transbronchial forceps biopsy.
MedLine Citation:
PMID:  8047716     Owner:  NLM     Status:  MEDLINE    
The diagnostic value of chest X-ray following the ILO standards was compared with bronchoalveolar lavage (BAL) and the histology of transbronchial forceps biopsy in 83 patients with collagen vascular diseases. BAL in the middle lobe was considered abnormal in case of increased cell count per milliliter and/or lymphocytosis and/or neutrophil granulocytosis and this was found in 32 out of 42 cases (76.2%) with, and in 33 of out 41 cases (80.5%) without abnormal radiological finding. Pathological changes in the histology were found in 14 out of 20 cases (70.0%) with and in 40 out of 63 cases (63.5%) without abnormal chest X-ray in the upper lobe from which the transbronchial forceps biopsy specimens were obtained. In histological specimens obtained from transbronchial forceps biopsy, only fibrosis correlated with abnormal radiological findings in this region. Other inflammatory processes defied prediction by chest X-ray. This suggests that, regardless of chest X-ray findings, BAL should be performed together with transbronchial forceps biopsy for the histological examination of patients with collagen vascular diseases in which interstitial lung involvement is suspected.
W Popp; O Braun; L Ritschka; O Scherak; G Kolarz; H Rauscher; W Kumpan; W Küster; C Wagner; H Zwick
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Respiration; international review of thoracic diseases     Volume:  61     ISSN:  0025-7931     ISO Abbreviation:  Respiration     Publication Date:  1994  
Date Detail:
Created Date:  1994-08-26     Completed Date:  1994-08-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0137356     Medline TA:  Respiration     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  138-43     Citation Subset:  IM    
Lungenabteilung, Krankenhaus der Stadt Wien-Lainz, Austria.
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MeSH Terms
Biopsy / methods*
Bronchoalveolar Lavage Fluid / cytology*
Collagen Diseases / diagnosis*,  pathology
Lung / pathology*
Lung Diseases, Interstitial / diagnosis*,  pathology
Middle Aged
Radiography, Thoracic*
Surgical Instruments
Vascular Diseases / diagnosis*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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