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clinical ct differential management radiology signs symptoms actinomyces actinomycosis arteritis autoantibodies autoimmune bronchiectasis carcinoma causes cell colitis common cvid disease
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... workup #treatment #rheumatology
Systemic Lupus Erythematosus - Diagnosis Manifestations: - Arthritis 69% - Malar rash 40% - Fever 36% -
Myositis 4% - Lung ... 5-15% - Anti-Ku ... auto-immune, Infectious diseases ... sclerosis, Still's disease ... #differential #rheumatology
Bronchiectasis - Permanent dilation of an airway WHAT CAN YOU SEE ON CT? 1) Lack of tapering of
CAN YOU SEE ON CT ... involving both lungs ... Obstruction 6) Rheumatologic ... /Autoimmune diseae ... Bronchiectasis #pulmonary #diagnosis
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
late adulthood • Diagnosis ... • Chronic lung ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... conditions Diagnosis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... in literature (NEJM ... cases (Cornelia NEJM ... day, followed by long ... them, but urgent rheumatology
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
Carcinoma of the Lung ... biopsy confirmed a diagnosis ... indicated stage IV disease ... #NEJM #clinical ... #radiology #CT #
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
effusions in both lungs ... Biopsy of the lung ... patient received a diagnosis ... #NEJM #clinical ... #radiology #CT #
Thumbprinting in Ischemic Colitis- Contrast-enhanced computed tomography of the abdomen, performed to evaluate the possibility of
complicated diverticular disease ... inflammatory bowel disease ... consistent with a diagnosis ... clinical #radiology #CT ... thumbprinting #sign #NEJM
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential Diagnosis ... RP-ILD), dermato-rheumatologic ... , pancreas, stomach ... , pancreas, stomach ... Myositis #Myopathy #rheumatology
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