| Common and Uncommon Manifestations of Wegener Granulomatosis at Chest CT: Radiologic-Pathologic Correlation. | |
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MedLine Citation:
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PMID: 22236893 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Wegener granulomatosis is an uncommon necrotizing vasculitis that classically manifests as a clinical triad consisting of upper and lower airway involvement and glomerulonephritis. Other less frequently involved organ systems include the central and peripheral nervous system and large joints. The diagnosis is based on a combination of clinical and laboratory findings. Because thoracic involvement often predominates, chest radiographic findings are often the first to suggest the diagnosis. However, chest computed tomography (CT) has superior sensitivity and specificity for evaluation of the airways, lung parenchyma, and mediastinum, particularly with the use of multiplanar reformatted and three-dimensional images. Common pulmonary radiologic findings include waxing and waning nodules, masses, ground-glass opacities, and consolidation. Airway involvement is usually characterized by circumferential tracheobronchial thickening, which can be smooth or nodular. Pleural effusions are the most common manifestation of pleural disease and can result from primary involvement or be secondary to renal failure. Mediastinal lymphadenopathy is a nonspecific finding and is usually reactive. Uncommon thoracic radiologic manifestations include involvement of the heart and great vessels. CT is the imaging modality of choice for diagnosis, surveillance, and follow-up in patients with Wegener granulomatosis.© RSNA, 2012. |
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Authors:
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Felipe Martinez; Jonathan H Chung; Subba R Digumarthy; Jeffrey P Kanne; Gerald F Abbott; Jo-Anne O Shepard; Eugene J Mark; Amita Sharma |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Radiographics : a review publication of the Radiological Society of North America, Inc Volume: 32 ISSN: 1527-1323 ISO Abbreviation: Radiographics Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-01-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8302501 Medline TA: Radiographics Country: United States |
Other Details:
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Languages: eng Pagination: 51-69 Citation Subset: IM |
Affiliation:
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Departments of Radiology and Pathology, Massachusetts General Hospital, 55 Fruit St, Founders 202, Boston, MA 02114. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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