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C-1272 - Expiratory chest HRCT in rheumatoid arthritis patients

E. Detorakis1, M. Raissaki2, R. Illing3; 1 Iraklion/GR 2 Heraklion/GR 3 London/UK Type: Scientific Exhibit
Area of Interests: Lung, Respiratory system
Imaging Technique: CT
Procedure: Laboratory tests
Special Focus: Inflammation
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Aims and objectives: The presence of pulmonary functional and morphological abnormalities related to small airways disease (SAD) in rheumatoid arthritis (RA) patients has been studied in literature since 1979 but its exact prevalence and clinical significance is still nowadays a subject of debate1-9. Irrespective of smo[...]

Methods and materials: PATIENT CHARACTERISTICS   62 consecutive patients, 14 males, 48 females, aged 42-76 years (median age 59 years), diagnosed with RA according to the revised classification criteria for RA of the American College of Rheumatology and the European League Against Rheumatism10, were prospectively r[...]

Results:   Chest HRCT findings are analyzed in Table 1. On inspiratory HRCT scans mild cylindrical bronchiectasis were detected in 42 (68%) patients (Fig. 1). Bronchial wall thickening was depicted in 38 (62%) patients (Fig. 2) while in 29 (69%) patients bronchial wall thickening and cylindrical br[...]

Conclusion: - Bronchial wall thickening and cylincrical bronchiectasis were common findings in nonsmoking RA patients, with pathogenesis possibly attributed to the disease itself. - Bronchial wall thickening significantly correlated to air trapping presence and extent. - Air trapping on expiratory HRCT scan, su[...]

Personal information: Efstathios E.Detorakis, MD, PhD    Consultant Radiologist Department of Computed Tomography Affidea Greece, Heraklion Crete, Greece email: edetorakis@hotmail.com

References: 1.Geddes DM, Corrin B, Brewerton DA, Davies RJ, Turner-Warwick M. Progressive airway obliteration in adults and its association with rheumatoid disease. Q J Med. 1977;46:427.  2.Geddes DM, Webly M, Emerson PA. Airway obstruction in rheumatoid arthritis. Ann Rheu Dis.1979;38:222. 3.Lee[...]

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