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Pulmonary CT findings in relapsing polychondritis.

机译:复发性多发性软骨炎的肺部CT表现。

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BACKGROUND: Relapsing polychondritis (RPC) is a rare rheumatic disease characterized by recurrent inflammation of cartilaginous structures, with airway involvement a major cause of morbidity and mortality. PURPOSE: To retrospectively evaluate airway and lung abnormalities in RPC with computed tomography (CT). MATERIAL AND METHODS: From January 2004 to May 2009, 21 patients with RPC (12 men, 9 women; 13-65 years old) underwent chest CT examinations. Two chest radiologists evaluated the CT images retrospectively. Abnormal findings, including airway stenosis, airway malacia, air trapping, and airway wall thickening with or without calcifications, were observed and noted. RESULTS: Major abnormal CT findings were observed in eight patients (38.1%), which included airway wall thickening (n=7), airway stenosis (n=6), airway malacia (n=6), airway wall calcification (n=8), and air trapping (n=3). Mediastinal lymph nodes were found in 12 patients. Lung infection was identified in four patients and interstitial lung disease in six patients. CONCLUSION: The CT findings in patients with RPC consisted mainly of airway wall thickening, airway stenosis, airway malacia, airway wall calcification, and air trapping.
机译:背景:复发性多发性软骨炎(RPC)是一种罕见的风湿性疾病,其特征是软骨结构反复发炎,气道受累是发病和死亡的主要原因。目的:回顾性评估计算机断层扫描(CT)RPC中的气道和肺部异常情况。材料与方法:自2004年1月至2009年5月,对21例RPC患者(男12例,女9例; 13-65岁)进行了胸部CT检查。两名胸部放射科医生对CT图像进行了回顾性评估。观察并记录了异常发现,包括气道狭窄,气道软化症,气管阻塞以及有或无钙化的气道壁增厚。结果:8例患者(38.1%)观察到主要的CT异常表现,包括气道壁增厚(n = 7),气道狭窄(n = 6),气道软化症(n = 6),气道壁钙化(n = 8)。 )和空气捕获(n = 3)。纵隔淋巴结发现12例。在四名患者中发现了肺部感染,在六名患者中发现了间质性肺疾病。结论:RPC患者的CT表现主要包括气道壁增厚,气道狭窄,气道软化,气道壁钙化和气管阻塞。

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