Asmaa Mohammed Elshazly, Rasha Dabees, Mahmoud Reda, Fahmy Hablas, Ahmed Samir, Nashwa Abdel-Wahab
{"title":"Spirometry and chest HRCT abnormalities in symptomatic and asymptomatic patients with inflammatory bowel disease","authors":"Asmaa Mohammed Elshazly, Rasha Dabees, Mahmoud Reda, Fahmy Hablas, Ahmed Samir, Nashwa Abdel-Wahab","doi":"10.1183/13993003.congress-2023.pa4013","DOIUrl":null,"url":null,"abstract":"<b>Background:</b> Ulcerative colitis (UC) and Crohn’s disease (CD) are the major subtypes of inflammatory bowel disease (IBD). Lung involvement is an IBD related extra-intestinal manifestations which is poorly studied. <b>Objectives:</b> We aimed to study radiological abnormalities and spirometric findings in symptomatic and asymptomatic patients recently diagnosed with IBD. Methods: A prospective cross-sectional study enrolled 71 patients (39 (55%) patients with CD and 32 (45%) patients with UC) presented to Main Alexandria University Hospital between 2019 and 2022. Patients were disease-naïve diagnosed by endoscopy. Those with bronco-pulmonary diseases prior to the diagnosis of IBD, cardiac, renal or hepatic diseases were excluded. All patients underwent clinical evaluation, spirometry, and HRCT scan of the chest. <b>Results:</b> The median age of the studied population was 32 (25–37) years being slightly more females (53.5%). Of total population 12 patients (16.9%) were asymptomatic and 59 patients (83.1%) were symptomatic. FEF25-75 and PEFR were significantly lower in the asymptomatic patients (p<0.001 and 0.006 respectively). Further, 7 patients (58.3%) of the asymptomatic group had abnormal HRCT findings where ground glass opacity and bronchiectasis were the frequently reported abnormality without statistically significant difference compared to symptomatic group (p>0.05). <b>Conclusion:</b> Lung involvement in IBD occurs even in asymptomatic population that warrant lung screening with simple tools as spirometry and HRCT scan which can help in early diagnosis and proper management.","PeriodicalId":34850,"journal":{"name":"Imaging","volume":"56 1","pages":"0"},"PeriodicalIF":0.7000,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Imaging","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1183/13993003.congress-2023.pa4013","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Ulcerative colitis (UC) and Crohn’s disease (CD) are the major subtypes of inflammatory bowel disease (IBD). Lung involvement is an IBD related extra-intestinal manifestations which is poorly studied. Objectives: We aimed to study radiological abnormalities and spirometric findings in symptomatic and asymptomatic patients recently diagnosed with IBD. Methods: A prospective cross-sectional study enrolled 71 patients (39 (55%) patients with CD and 32 (45%) patients with UC) presented to Main Alexandria University Hospital between 2019 and 2022. Patients were disease-naïve diagnosed by endoscopy. Those with bronco-pulmonary diseases prior to the diagnosis of IBD, cardiac, renal or hepatic diseases were excluded. All patients underwent clinical evaluation, spirometry, and HRCT scan of the chest. Results: The median age of the studied population was 32 (25–37) years being slightly more females (53.5%). Of total population 12 patients (16.9%) were asymptomatic and 59 patients (83.1%) were symptomatic. FEF25-75 and PEFR were significantly lower in the asymptomatic patients (p<0.001 and 0.006 respectively). Further, 7 patients (58.3%) of the asymptomatic group had abnormal HRCT findings where ground glass opacity and bronchiectasis were the frequently reported abnormality without statistically significant difference compared to symptomatic group (p>0.05). Conclusion: Lung involvement in IBD occurs even in asymptomatic population that warrant lung screening with simple tools as spirometry and HRCT scan which can help in early diagnosis and proper management.