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Mr. Guo Gang
Associate Chief Physician£¬Medical Postgraduate£¬Director of No.2 Department of Rheumatism ...[more] |
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Clinical manifestati
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Clinical manifestati |
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Scleroderma patients with X-ray film have found? |
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Scleroderma is a systemic disease, patients with lesions in different parts, making X-ray examination may have different findings. Hands-phase examination early may have osteoporosis, with the progression of the disease, knuckles may have irregular bone erosion and joint space narrowing. Because of severe Raynaud's phenomenon and finger vascular lesions, bone resorption can phalanx finger bone thinning sharpened, small number of patients without traumatic finger bone becomes shorter. If the patient has a soft-tissue calcification, the corresponding parts of the X-ray examination can be found in soft tissue nodules. Early esophageal barium meal examination can be found in the lower esophagus was dilated, motility, prolonged retention of barium in the esophagus. In severe cases, esophageal motility significantly reduced or even completely disappear, severe esophageal dilatation, esophageal reflux may be associated with the phenomenon. Check esophagus dynamics can be found in the esophagus movement weakened, tension decreased. Radiographic abnormalities of the esophagus or the dynamics of change has some significance for the diagnosis of scleroderma. Therefore, for patients with suspected scleroderma, aspects of the esophagus to help check possible diagnosis. Chest X-ray shows only double early next increased lung markings, typically under two-thirds of those who have a large number of small lung nodules or reticular shadows, gradually increased with the progress of the disease, severe like a honeycomb, known as the "honeycomb lung medicine "indicating severe pulmonary fibrosis patients, the prognosis is not good. Some patients may have pleural thickening, adhesions, a few patients may have pleural effusion. Chest X-ray examination can help diagnose scleroderma, in addition, for scleroderma patients have been diagnosed, should be regularly (0.5-1 years) to observe changes in chest X-ray to guide treatment, to understand the prognosis. |
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