- To recognize typical and atypical pulmonary image findings of scleroderma and pneumoconiosis. - To be aware of the possibility of having scleroderma and synchronic pneumoconiosis in the same patient and avoid “satisfaction of search” error.
Progressive systemic sclerosis or scleroderma is a generalized disease of the connective tissue in which up to 75% of the cases evidence pulmonary affection. This disease is commonly associated with usual interstitial pneumonia, non-specific interstitial pneumonia, pulmonary vasculitis, and pulmonar[...]
Findings and procedure details:
1- HRCT findings of progressive systemic sclerosis HRCT findings of interstitial fibrosis in progressive systemic sclerosis are similar to those of idiopathic pulmonary fibrosis (IPF), including ground-glass opacity, consolidation, fine reticular opacities, coarse or irregular reticulation, t[...]
Seventy five percent of patients with scleroderma have lung involvement in their chest HRCT, even without respiratory symptoms; most cases show some degree of interstitial fibrosis. . Other chest HRCT features may suggest synchronic illness and change management and prognostic.
- W. Richard Webb, Nestor L. Müller, David P. Naidich. Alta resolución en TC de Pulmón. 3ª edición. Philadelphia: Marban; 2003. -W. Richard Webb, Charles B. Higgins. Thoracic imaging. Pulmonary and Cardiovascular Radiology. USA; Lippincott Williams and Wilkins, 2005. - J. A. Verschakelen, W.[...]