{"title":"类风湿胸膜炎声像图特征的回顾性分析。","authors":"Hui Guo, Zin Sein, Beenish Iqbal, Dinesh Addala, Anand Sundaralingam, Poppy Denniston, Najib Rahman","doi":"10.1183/13993003.congress-2023.pa1827","DOIUrl":null,"url":null,"abstract":"<b>Introduction:</b> Pleural involvement is well recognised in rheumatoid arthritis. Despite the now established role of physician-led thoracic ultrasound in pleural disease, there remains a paucity of research into characterising the sonographic features of rheumatoid pleuritis. <b>Aim:</b> To examine the sonographic appearance of established rheumatoid effusions. <b>Methods:</b> A retrospective analysis was performed for all rheumatoid arthritis patients who underwent thoracic ultrasound, with or without intervention, at the John Radcliffe Hospital, Oxford, from July 2015 to January 2023. <b>Results:</b> Sixteen patients of median age 65 years underwent 31 episodes of thoracic ultrasound and 25 pleural procedures. Half of the patients were male; 11 (81%) were seropositive, 5 (31%) manifested with rheumatoid-related parenchymal changes. In 16 (52%) instances of thoracic ultrasound, the effusion was moderate in size, measuring 2-3 rib spaces. Median maximal depth of effusion was 7.5 cm. In 28 (90%) instances, the fluid was echogenic. In 18 (58%), there were no septations. Pleural thickening was examined for in 11 (35%) instances and measured in 1 (3%). Fluid analyses yielded exclusive exudates, with median protein 42 g/L, median glucose 3.35 mmol/L and median LDH 1146 IU/L. <b>Conclusion:</b> Most rheumatoid effusions referred to a pleural service were moderately sized, non-septated and echogenic, yielding inflammatory exudates. Pleural thickening was not routinely screened for or measured on ultrasound. This highlights the important need for developing a systematic sonographic approach to characterising rheumatoid pleuritis, and in depth assessments of patients in rheumatoid clinics for earlier signs of pleural disease.","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":"35 1","pages":"0"},"PeriodicalIF":0.8000,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A retrospective review of the sonographic features of rheumatoid pleuritis.\",\"authors\":\"Hui Guo, Zin Sein, Beenish Iqbal, Dinesh Addala, Anand Sundaralingam, Poppy Denniston, Najib Rahman\",\"doi\":\"10.1183/13993003.congress-2023.pa1827\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<b>Introduction:</b> Pleural involvement is well recognised in rheumatoid arthritis. Despite the now established role of physician-led thoracic ultrasound in pleural disease, there remains a paucity of research into characterising the sonographic features of rheumatoid pleuritis. <b>Aim:</b> To examine the sonographic appearance of established rheumatoid effusions. <b>Methods:</b> A retrospective analysis was performed for all rheumatoid arthritis patients who underwent thoracic ultrasound, with or without intervention, at the John Radcliffe Hospital, Oxford, from July 2015 to January 2023. <b>Results:</b> Sixteen patients of median age 65 years underwent 31 episodes of thoracic ultrasound and 25 pleural procedures. Half of the patients were male; 11 (81%) were seropositive, 5 (31%) manifested with rheumatoid-related parenchymal changes. In 16 (52%) instances of thoracic ultrasound, the effusion was moderate in size, measuring 2-3 rib spaces. Median maximal depth of effusion was 7.5 cm. In 28 (90%) instances, the fluid was echogenic. In 18 (58%), there were no septations. Pleural thickening was examined for in 11 (35%) instances and measured in 1 (3%). Fluid analyses yielded exclusive exudates, with median protein 42 g/L, median glucose 3.35 mmol/L and median LDH 1146 IU/L. <b>Conclusion:</b> Most rheumatoid effusions referred to a pleural service were moderately sized, non-septated and echogenic, yielding inflammatory exudates. Pleural thickening was not routinely screened for or measured on ultrasound. This highlights the important need for developing a systematic sonographic approach to characterising rheumatoid pleuritis, and in depth assessments of patients in rheumatoid clinics for earlier signs of pleural disease.\",\"PeriodicalId\":23440,\"journal\":{\"name\":\"Ultrasound\",\"volume\":\"35 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2023-09-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ultrasound\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1183/13993003.congress-2023.pa1827\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ultrasound","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1183/13993003.congress-2023.pa1827","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
A retrospective review of the sonographic features of rheumatoid pleuritis.
Introduction: Pleural involvement is well recognised in rheumatoid arthritis. Despite the now established role of physician-led thoracic ultrasound in pleural disease, there remains a paucity of research into characterising the sonographic features of rheumatoid pleuritis. Aim: To examine the sonographic appearance of established rheumatoid effusions. Methods: A retrospective analysis was performed for all rheumatoid arthritis patients who underwent thoracic ultrasound, with or without intervention, at the John Radcliffe Hospital, Oxford, from July 2015 to January 2023. Results: Sixteen patients of median age 65 years underwent 31 episodes of thoracic ultrasound and 25 pleural procedures. Half of the patients were male; 11 (81%) were seropositive, 5 (31%) manifested with rheumatoid-related parenchymal changes. In 16 (52%) instances of thoracic ultrasound, the effusion was moderate in size, measuring 2-3 rib spaces. Median maximal depth of effusion was 7.5 cm. In 28 (90%) instances, the fluid was echogenic. In 18 (58%), there were no septations. Pleural thickening was examined for in 11 (35%) instances and measured in 1 (3%). Fluid analyses yielded exclusive exudates, with median protein 42 g/L, median glucose 3.35 mmol/L and median LDH 1146 IU/L. Conclusion: Most rheumatoid effusions referred to a pleural service were moderately sized, non-septated and echogenic, yielding inflammatory exudates. Pleural thickening was not routinely screened for or measured on ultrasound. This highlights the important need for developing a systematic sonographic approach to characterising rheumatoid pleuritis, and in depth assessments of patients in rheumatoid clinics for earlier signs of pleural disease.
UltrasoundRADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.70
自引率
0.00%
发文量
55
期刊介绍:
Ultrasound is the official journal of the British Medical Ultrasound Society (BMUS), a multidisciplinary, charitable society comprising radiologists, obstetricians, sonographers, physicists and veterinarians amongst others.