系统性红斑狼疮中不常见的弥漫性肺淀粉样变性：计算机断层扫描表现。

Unusual diffuse pulmonary amyloidosis in systemic lupus erythematosus: computed tomography findings.

机构信息

Department of Radiology, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.

出版信息

Clin Imaging. 2011 Mar-Apr;35(2):156-9. doi: 10.1016/j.clinimag.2010.03.008.

DOI:10.1016/j.clinimag.2010.03.008

Abstract

Pulmonary involvement is a common feature in systemic lupus erythematosus (SLE) patients. This may include pleuritis, pneumonitis, and pulmonary hemorrhage. However, the presence of diffuse consolidation on chest radiographs is less common, and is usually interpreted as pneumonia. Moreover, consolidations with massive calcifications are a relatively rare manifestation. The association of pulmonary amyloidosis and SLE seems quite unusual, and has rarely been described. We report a patient with SLE and massive multiple calcified consolidations on radiologic images, which were confirmed as secondary amyloidosis.

摘要

肺部受累是系统性红斑狼疮（SLE）患者的常见特征。这可能包括胸膜炎、肺炎和肺出血。然而，胸片上弥漫性实变的存在并不常见，通常被解释为肺炎。此外，伴有大量钙化的实变是一种相对罕见的表现。肺淀粉样变性与 SLE 的关联似乎很不寻常，很少有描述。我们报告了一例 SLE 患者，其影像学图像显示大量多发钙化实变，经证实为继发性淀粉样变性。