The use of High Resolution CT (HRCT) for the Evaluation of Lung Parenchyma in patient with Arthritis

 Hussnain Rashid Butt, Muhammad Naeem, A. John, N. Arshad, SadiaAzam ., Abid Ali
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Abstract

Quick Response Code Abstract: Background: Interstitial lung disease is an umbrella term used for a group of diseases that causes scaring, swelling, infection, Inflammation, Fibrosis and difficulty in breathing. HRCT is Gold standard modality to evaluate ILDS in RA patients because there are different appearances shows on CT in lungs that are used to evaluate the severity and extend of disease in lungs. Objective: To emphasize the use of High Resolution Computed Tomography in patients of arthritis having Lung parenchymal diseases. Methodology: An observation study of RA-ILD patients surveyed from May to November 2020.The 60 patients where ruled out with Arthritis in our Clinical Centre out of which 22 patients were taken to investigate that appearances like Ground glass, Honey comb, Enlarged lymph nodes, Bronchiectasis, Pleural effusion in the patients of Rheumatoid Arthritis. Result: In this study 22 patients were taken out of which Arthritis was present in 18 Patient and we evaluated the HRCT findings like Ground glass opacities, Honey comb appearance, lymph nodes, Bronchiectasis, Pleural effusion. Frequencies of different (ILDs) HRCT appearances were obtained. These outcomes recommend a positive relationship between the RA infection action and Lung aggravation in RA-ILD. Conclusion: In conclusion lung parenchymal changes due to Rheumatoid arthritis are more common in male than female. HRCT demonstrated sensitivity in the detection of anomalies, but clinically silent as well as not being diagnosed in simple radiography. It concludes that HRCT images are beneficial in diagnosing interstitial lung disease for rheumatoid arthritis patients.
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高分辨率CT (HRCT)对关节炎患者肺实质的评价
摘要:背景:间质性肺疾病是一组引起恐吓、肿胀、感染、炎症、纤维化和呼吸困难的疾病的总称。HRCT是评估RA患者ILDS的金标准方式,因为肺部CT上有不同的表现,用于评估肺部疾病的严重程度和范围。目的:强调高分辨率计算机断层扫描在关节炎合并肺实质疾病患者中的应用。方法:对2020年5月至11月调查的RA-ILD患者进行观察研究。本临床中心排除关节炎的60例患者中,22例被调查类风湿关节炎患者出现磨玻璃、蜂窝状、淋巴结肿大、支气管扩张、胸腔积液等症状。结果:本研究选取22例患者,其中18例存在关节炎,我们评估了HRCT表现,如磨玻璃样混浊,蜂窝状外观,淋巴结,支气管扩张,胸腔积液。获得不同(ILDs) HRCT表现的频率。这些结果提示RA- ild中RA感染行为与肺部恶化呈正相关。结论:类风湿关节炎所致肺实质改变男性多于女性。HRCT在检测异常方面表现出敏感性,但临床表现沉默,并且在简单的x线摄影中无法诊断。结论:HRCT图像对类风湿关节炎间质性肺疾病的诊断有一定的价值。
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