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Body computed tomography findings in systemic lupus erythematosus
E Heiberg1, M K Wolverson, M Sundaram
1Department of Radiology, St. Louis University Medical Center, Missouri 63104.
The Journal of Computed Tomography
|January 1, 1988
Summary
Computed tomography (CT) scans in systemic lupus erythematosus (SLE) patients revealed mild lymphadenopathy as the most common finding. CT imaging proved helpful in evaluating patients and guiding management decisions.
Area of Science:
- Radiology
- Immunology
- Gastroenterology
Background:
- Systemic lupus erythematosus (SLE) is a complex autoimmune disease.
- Intra-abdominal complications can occur in SLE patients.
- Computed tomography (CT) is a key imaging modality.
Purpose of the Study:
- To review CT findings in patients with SLE.
- To identify common CT abnormalities in this population.
- To assess the utility of CT in managing SLE patients.
Main Methods:
- Retrospective review of 55 CT scans.
- Analysis of 27 patients diagnosed with SLE.
- Correlation of CT findings with clinical presentation.
Main Results:
- Mild lymphadenopathy was the most frequent finding.
- Renal abnormalities included hematoma, defects, and size changes.
- Other findings: serositis, bowel thickening, pneumatosis intestinalis, pancreatic pseudocyst, enlarged liver/spleen.
- Five abscesses were identified but indistinguishable from other fluid collections.
Conclusions:
- CT imaging provides valuable insights into intra-abdominal and renal manifestations of SLE.
- CT findings can aid in clinical evaluation and management adjustments.
- Distinguishing abscesses from other fluid collections on CT can be challenging in SLE.