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Re: RESEARCH - Lung changes in rheumatoid arthritis: CT findings

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Wow, such fun on the horizon.

<Matsumura_Clan@...> wrote:

Radiology, Vol 193, 375-382, Copyright © 1994 by Radiological Society of

North America

Lung changes in rheumatoid arthritis: CT findings

M Remy-Jardin, J Remy, B Cortet, F Mauri and B Delcambre

Department of Radiology, Hopital Calmette, Lille, France.

PURPOSE: To evaluate lung changes in rheumatoid arthritis (RA). MATERIALS

AND METHODS: The authors reviewed the computed tomographic (CT) scans from

84 patients with RA with a mean articular disease duration (+/- standard

deviation) of 12 years +/- 8 (range, 0.3-45 years). Fifteen patients

underwent sequential CT evaluation during 5-65- month follow-up (mean, 18

months). RESULTS: Thirty-eight patients (49%) had abnormal CT scans showing

the following abnormalities: (a) bronchiectasis and/or bronchiolectasis (n =

23, 30%), (B) pulmonary nodules (n = 17, 22%), © subpleural micronodules

and/or pseudoplaques (n = 13, 17%), (d) nonseptal linear attenuation (n =

14, 18%), (e) areas of ground-glass attenuation (n = 11, 14%), and (f)

honeycombing (n = 8, 10%). Abnormal CT examinations were recorded in 11 of

38 asymptomatic patients (29%) and 27 of 39 symptomatic patients (69%). The

following CT abnormalities were found with a significantly higher frequency

among patients with respiratory symptoms: (a) bronchiectasis and/or

bronchiolectasis, (B) rounded areas of attenuation, © areas of

ground-glass attenuation, and (d) honeycombing.

CONCLUSION: CT may be a useful noninvasive tool for recognition of

RA-associated lung disease with special emphasis on bronchial and

bronchiolar changes.

http://radiology.rsnajnls.org/cgi/content/abstract/193/2/375

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

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My Ra has been seronegative for four years now, my lung disease is what finally

confirmed mt diagnoses. WI

" C. Y. " <cjmy3454@...> wrote: Wow, such fun on the horizon.

<Matsumura_Clan@...> wrote:

Radiology, Vol 193, 375-382, Copyright © 1994 by Radiological Society of

North America

Lung changes in rheumatoid arthritis: CT findings

M Remy-Jardin, J Remy, B Cortet, F Mauri and B Delcambre

Department of Radiology, Hopital Calmette, Lille, France.

PURPOSE: To evaluate lung changes in rheumatoid arthritis (RA). MATERIALS

AND METHODS: The authors reviewed the computed tomographic (CT) scans from

84 patients with RA with a mean articular disease duration (+/- standard

deviation) of 12 years +/- 8 (range, 0.3-45 years). Fifteen patients

underwent sequential CT evaluation during 5-65- month follow-up (mean, 18

months). RESULTS: Thirty-eight patients (49%) had abnormal CT scans showing

the following abnormalities: (a) bronchiectasis and/or bronchiolectasis (n =

23, 30%), (B) pulmonary nodules (n = 17, 22%), © subpleural micronodules

and/or pseudoplaques (n = 13, 17%), (d) nonseptal linear attenuation (n =

14, 18%), (e) areas of ground-glass attenuation (n = 11, 14%), and (f)

honeycombing (n = 8, 10%). Abnormal CT examinations were recorded in 11 of

38 asymptomatic patients (29%) and 27 of 39 symptomatic patients (69%). The

following CT abnormalities were found with a significantly higher frequency

among patients with respiratory symptoms: (a) bronchiectasis and/or

bronchiolectasis, (B) rounded areas of attenuation, © areas of

ground-glass attenuation, and (d) honeycombing.

CONCLUSION: CT may be a useful noninvasive tool for recognition of

RA-associated lung disease with special emphasis on bronchial and

bronchiolar changes.

http://radiology.rsnajnls.org/cgi/content/abstract/193/2/375

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

Link to comment
Share on other sites

I am stil seronegative too but the symptoms are there, no mistake. I am holding

my own for now.... while it lasts.

To All:

How have you been diagnosed with RA? SOme of you really are having a rough

deal.

susan smith <bizzare48@...> wrote:

My Ra has been seronegative for four years now, my lung disease is what

finally confirmed mt diagnoses. WI

" C. Y. " <cjmy3454@...> wrote: Wow, such fun on the horizon.

<Matsumura_Clan@...> wrote:

Radiology, Vol 193, 375-382, Copyright © 1994 by Radiological Society of

North America

Lung changes in rheumatoid arthritis: CT findings

M Remy-Jardin, J Remy, B Cortet, F Mauri and B Delcambre

Department of Radiology, Hopital Calmette, Lille, France.

PURPOSE: To evaluate lung changes in rheumatoid arthritis (RA). MATERIALS

AND METHODS: The authors reviewed the computed tomographic (CT) scans from

84 patients with RA with a mean articular disease duration (+/- standard

deviation) of 12 years +/- 8 (range, 0.3-45 years). Fifteen patients

underwent sequential CT evaluation during 5-65- month follow-up (mean, 18

months). RESULTS: Thirty-eight patients (49%) had abnormal CT scans showing

the following abnormalities: (a) bronchiectasis and/or bronchiolectasis (n =

23, 30%), (B) pulmonary nodules (n = 17, 22%), © subpleural micronodules

and/or pseudoplaques (n = 13, 17%), (d) nonseptal linear attenuation (n =

14, 18%), (e) areas of ground-glass attenuation (n = 11, 14%), and (f)

honeycombing (n = 8, 10%). Abnormal CT examinations were recorded in 11 of

38 asymptomatic patients (29%) and 27 of 39 symptomatic patients (69%). The

following CT abnormalities were found with a significantly higher frequency

among patients with respiratory symptoms: (a) bronchiectasis and/or

bronchiolectasis, (B) rounded areas of attenuation, © areas of

ground-glass attenuation, and (d) honeycombing.

CONCLUSION: CT may be a useful noninvasive tool for recognition of

RA-associated lung disease with special emphasis on bronchial and

bronchiolar changes.

http://radiology.rsnajnls.org/cgi/content/abstract/193/2/375

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

Link to comment
Share on other sites

I too have had all the systems for over five years and have been seeing a rheumy

for most of the time, i also have Osteo quite bad in knees ankles and spine. But

because I was seronegative it was so hard to get a diagnosis. I was taking Ra

meds but still no definite diagnosis, until I got pneumonia again , 5Th time in

last few years, and ended up in hospital and it was then discovered I had RA

lung,Next time I saw my rheumy she said " Oh Shit " I started on humiria the next

week! in WI

" C. Y. " <cjmy3454@...> wrote: I am stil seronegative too but the

symptoms are there, no mistake. I am holding my own for now.... while it lasts.

To All:

How have you been diagnosed with RA? SOme of you really are having a rough

deal.

susan smith <bizzare48@...> wrote:

My Ra has been seronegative for four years now, my lung disease is what

finally confirmed mt diagnoses. WI

" C. Y. " <cjmy3454@...> wrote: Wow, such fun on the horizon.

<Matsumura_Clan@...> wrote:

Radiology, Vol 193, 375-382, Copyright © 1994 by Radiological Society of

North America

Lung changes in rheumatoid arthritis: CT findings

M Remy-Jardin, J Remy, B Cortet, F Mauri and B Delcambre

Department of Radiology, Hopital Calmette, Lille, France.

PURPOSE: To evaluate lung changes in rheumatoid arthritis (RA). MATERIALS

AND METHODS: The authors reviewed the computed tomographic (CT) scans from

84 patients with RA with a mean articular disease duration (+/- standard

deviation) of 12 years +/- 8 (range, 0.3-45 years). Fifteen patients

underwent sequential CT evaluation during 5-65- month follow-up (mean, 18

months). RESULTS: Thirty-eight patients (49%) had abnormal CT scans showing

the following abnormalities: (a) bronchiectasis and/or bronchiolectasis (n =

23, 30%), (B) pulmonary nodules (n = 17, 22%), © subpleural micronodules

and/or pseudoplaques (n = 13, 17%), (d) nonseptal linear attenuation (n =

14, 18%), (e) areas of ground-glass attenuation (n = 11, 14%), and (f)

honeycombing (n = 8, 10%). Abnormal CT examinations were recorded in 11 of

38 asymptomatic patients (29%) and 27 of 39 symptomatic patients (69%). The

following CT abnormalities were found with a significantly higher frequency

among patients with respiratory symptoms: (a) bronchiectasis and/or

bronchiolectasis, (B) rounded areas of attenuation, © areas of

ground-glass attenuation, and (d) honeycombing.

CONCLUSION: CT may be a useful noninvasive tool for recognition of

RA-associated lung disease with special emphasis on bronchial and

bronchiolar changes.

http://radiology.rsnajnls.org/cgi/content/abstract/193/2/375

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

Link to comment
Share on other sites

Your Rheumy should learn some bedside manners.

I was lucky, Dr. M. Elleman [university of Chicago, well-known in his field]

diagnosed me on my first visit. Even though I was sero-negative and started me

on methotrexate immediately. So far, nothing is getting worse and I am in pretty

good shape.... at least for now. The man is brilliant, unfortunately, he

retired.

susan smith <bizzare48@...> wrote:

I too have had all the systems for over five years and have been seeing a

rheumy for most of the time, i also have Osteo quite bad in knees ankles and

spine. But because I was seronegative it was so hard to get a diagnosis. I was

taking Ra meds but still no definite diagnosis, until I got pneumonia again ,

5Th time in last few years, and ended up in hospital and it was then discovered

I had RA lung,Next time I saw my rheumy she said " Oh Shit " I started on humiria

the next week! in WI

" C. Y. " <cjmy3454@...> wrote: I am stil seronegative too but the

symptoms are there, no mistake. I am holding my own for now.... while it lasts.

To All:

How have you been diagnosed with RA? SOme of you really are having a rough

deal.

susan smith <bizzare48@...> wrote:

My Ra has been seronegative for four years now, my lung disease is what

finally confirmed mt diagnoses. WI

" C. Y. " <cjmy3454@...> wrote: Wow, such fun on the horizon.

<Matsumura_Clan@...> wrote:

Radiology, Vol 193, 375-382, Copyright © 1994 by Radiological Society of

North America

Lung changes in rheumatoid arthritis: CT findings

M Remy-Jardin, J Remy, B Cortet, F Mauri and B Delcambre

Department of Radiology, Hopital Calmette, Lille, France.

PURPOSE: To evaluate lung changes in rheumatoid arthritis (RA). MATERIALS

AND METHODS: The authors reviewed the computed tomographic (CT) scans from

84 patients with RA with a mean articular disease duration (+/- standard

deviation) of 12 years +/- 8 (range, 0.3-45 years). Fifteen patients

underwent sequential CT evaluation during 5-65- month follow-up (mean, 18

months). RESULTS: Thirty-eight patients (49%) had abnormal CT scans showing

the following abnormalities: (a) bronchiectasis and/or bronchiolectasis (n =

23, 30%), (B) pulmonary nodules (n = 17, 22%), © subpleural micronodules

and/or pseudoplaques (n = 13, 17%), (d) nonseptal linear attenuation (n =

14, 18%), (e) areas of ground-glass attenuation (n = 11, 14%), and (f)

honeycombing (n = 8, 10%). Abnormal CT examinations were recorded in 11 of

38 asymptomatic patients (29%) and 27 of 39 symptomatic patients (69%). The

following CT abnormalities were found with a significantly higher frequency

among patients with respiratory symptoms: (a) bronchiectasis and/or

bronchiolectasis, (B) rounded areas of attenuation, © areas of

ground-glass attenuation, and (d) honeycombing.

CONCLUSION: CT may be a useful noninvasive tool for recognition of

RA-associated lung disease with special emphasis on bronchial and

bronchiolar changes.

http://radiology.rsnajnls.org/cgi/content/abstract/193/2/375

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

Link to comment
Share on other sites

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