scholarly journals AB0602 CLINICAL USEFULNESS OF LUNG ULTRASOUND IN ACTIVE GRANULOMATOSIS WITH POLYANGIITIS WITH LUNG INVOLVEMENT – PRELIMINARY DATA

2019 ◽  
Author(s):  
Anna Masiak ◽  
Natalia Buda ◽  
Zbigniew Zdrojewski
Keyword(s):  
Preliminary Data ◽  
Granulomatosis With Polyangiitis ◽  
Lung Ultrasound ◽  
Clinical Usefulness ◽  
Lung Involvement

scholarly journals Can point-of-care lung ultrasound (POCUS) be implemented as a substitute for chest CT scan for the assessment of patients with COVID-19 pneumonia?

2021 ◽  
Vol 20 (2) ◽  
pp. 43-55
Author(s):  
Treefa Salih Hasan ◽  
Keyword(s):  
Lung Ultrasound ◽  
Point Of Care ◽  
Pulmonary Involvement ◽  
P Value ◽  
The Novel ◽  
Lung Involvement ◽  
High Resolution Computed Tomography ◽  
Cross Sectional ◽  
Sensitivity Specificity ◽  
Chest Ct Scan

Background: In the novel COVID outbreak , chest imaging was in the front door for the diagnostic approach to any patient with respiratory symptoms , including chest HRCT & lung ultrasound modalities. Objective: To find the correlation between lung ultrasound and chest high-resolution computed tomography (HRCT) signs in patients suffering from COVID-19 pulmonary involvement. Patients and Methods: This cross-sectional observational study conducted in Arbil / Iraq, from July to November 2020 , enrolled 50 patients who assessed using HRCT and lung ultrasound (LUS),12 areas in the chest examined by ultrasound and corresponding percentage (absent or limited, moderate, extensive, severe & critical grads ) of lung affection on HRCT. Results: Analysis of the obtained data from 50 affected patients done , a highly significant positive relation noted between the findings on ultrasound & the extend of lung involvement by chest HRCT (r factor 0.78, the p-value was <0.001), the sensitivity, specificity, and accuracy of LUS were 90%, 70% ,and 68% respectively. Conclusion: The current study showed that ultrasound and HRCT are parallel in assessing the extent of lung involvement among COVID-19 pneumonia victims, thus making lung ultrasound a relevant substitute for HRCT.

scholarly journals Lung involvement in childhood onset granulomatosis with polyangiitis

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Giovanni Filocamo ◽  
Sofia Torreggiani ◽  
Carlo Agostoni ◽  
Susanna Esposito
Keyword(s):  
Granulomatosis With Polyangiitis ◽  
Lung Involvement ◽  
Childhood Onset

Accuracy of lung ultrasound in pleuritic chest pain: Preliminary data of a multicentric study

2015 ◽  
Author(s):  
Argyro Chatziantoniou ◽  
Giuseppe Francesco Sferrazza Papa ◽  
Stefano Centanni ◽  
Peiman Nazerian ◽  
Michele Mondoni ◽  
...  
Keyword(s):  
Chest Pain ◽  
Preliminary Data ◽  
Lung Ultrasound ◽  
Pleuritic Chest Pain ◽  
Multicentric Study

scholarly journals THU0534 LUNG ULTRASOUND IN PATIENTS WITH SECONDARY INTERSTITIAL LUNG DISEASES

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 506.2-507
Author(s):  
E. Kirillova ◽  
N. Shamsutdinova ◽  
G. Nurullina
Keyword(s):  
Rheumatic Diseases ◽  
Lung Ultrasound ◽  
Systemic Vasculitis ◽  
Damage Index ◽  
Clinical Manifestations ◽  
Pulmonary Involvement ◽  
Gas Diffusion ◽  
Lung Involvement ◽  
Activity Scale ◽  
B Lines

Background:Currently, lung ultrasound (LUS) is increasingly used in rheumatology.Objectives:To evaluate the relationship between lung ultrasound and pulmonary function and disease activity in patients with rheumatic diseases with secondary lung involvement.Methods:Thirty patients with rheumatic diseases were included in the study, who, according to the data of the high-resolution RCT of lungs (64-slice CT system Philips Diamond Select Brilliance), showed interstitial lung involvement as a type of nonspecific interstitial pneumonia. In 4 patients, mixed connective tissue disease (MCTD) was diagnosed, 20 had systemic vasculitis (SV), and 6 had rheumatoid arthritis (RA). The mean age of the patients was 56,55 ± 10,59, the duration of the disease was 2,3 ± 1,2 years. All patients underwent a standard clinical examination, the following indices and scales were used to assess the activity of the underlying disease: VDI damage index, Bermingham systemic vasculitis activity scale (BVAS), RA activity scale (DAS 28-CRP). The functional state of the lungs was assessed using spirometry, bodipletismography, gas diffusion “single breath”. LUS was carried out for the evaluation of the location and number of B-lines on both right and left hemithoraces using commercially available echographic equipment with a 5-12 MHz linear transducer (Accuvix A30, Samsung Medison).Results:Most patients had an average number of B-lines 24,5[11,5;34,0]. Тhere were no significant differences in the number of В-lines between groups of patients of different nosologies. The total number of В-lines correlated with the index of activity of systemic vasculitis BVAS (р<0,05; r=0,83). There were no statistically significant correlations with clinical manifestations of pulmonary involvement.Conclusion:Lung ultrasound may be useful in screening secondary lung involvement in patients with rheumatic diseases with high activity.References:[1]Dietrich CF, Mathis G, Blaivas M, Volpicelli G, Seibel A, Wastl D, Atkinson NS, Cui XW, FanM, Yi D. Lung B-line artefacts and their use. J Thorac Dis 2016;8(6):1356-1365. doi: 10.21037/jtd.2016.04.55[2]Tatiana Barskova, Luna Gargani, Serena Guiducci, et al. Lung ultrasound for the screening of interstitial lung disease in very early systemic sclerosis Ann Rheum Dis 2013 72: 390-395 originally published online May 15 2012 doi: 10.1136/annrheumdis-2011-201072Disclosure of Interests:None declared

scholarly journals Lung Ultrasound Is Often, but Not Always, Normal in Healthy Subjects: Considerations for COVID-19 Pandemic

Diagnostics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 82
Author(s):  
Alberto Raiteri ◽  
Margherita Alvisi ◽  
Ilaria Serio ◽  
Federico Stefanini ◽  
Francesco Tovoli ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Lung Ultrasound ◽  
Screening Program ◽  
Virus Disease ◽  
Good Health ◽  
Lung Involvement ◽  
Zone Method ◽  
Serological Screening ◽  
Important Diagnostic Tool ◽  
Ultrasound Score

Background: Lung ultrasound (LU) is becoming an increasingly important diagnostic tool in detecting lung involvement in Corona Virus Disease 2019 (COVID-19). The aim of this study was to ascertain the likelihood of finding LU abnormalities; mimicking lung involvement; in COVID-19 negative healthy individuals. Methods: We performed LU on 265 healthcare workers; not presenting COVID-19 major symptoms and in good health; during the course of a serological screening program for COVID-19 in our General Hospital. LU results were reported as total Lung Ultrasound Score (LUS) using a 12-zone method of reporting. Results: 250/265 subjects were included in the COVID-19 negative group. LU was not completely normal (LUS ≠ 0) in 65/250 COVID-19 negative subjects (26%) and in 12/15 (80%) poorly symptomatic COVID-19 positive subjects; with a multifocal pattern in 12.7% vs. 66.7% of cases respectively. Age and COVID-19 positivity were independent predictors of total LUS. A total LUS ≥ 2 had a sensitivity of 66.67% and a specificity of 85.60% in detecting COVID-19 positivity. Conclusions: A slightly altered LU can be quite frequent in healthy COVID-19 negative subjects. LU can have a role in confirming but not screening COVID-19 poorly symptomatic cases.

scholarly journals Lung Ultrasound in COVID-19 pandemic: Why? How? And When?

2020 ◽  
pp. 3-12
Author(s):  
Khrystyna Pronyuk ◽  
Andriy Vysotskyi
Keyword(s):  
Critically Ill ◽  
Computer Tomography ◽  
Critically Ill Patients ◽  
Clinical Decision Making ◽  
Lung Ultrasound ◽  
Clinical Decision ◽  
X Rays ◽  
Lung Involvement ◽  
X Ray ◽  
Chest X Ray

During COVID-19 pandemic Lung ultrasound has rapidly become a tool for diagnosis and monitoring of lung involvement and it’s severity. Accurate evaluation of lung pathologic entities at the bedside, especially in critically ill patients, and those on mechanical ventilation, remains problematic. CT should not be frequently repeated and is not available everywhere, especially for critically ill patients. Limitations of bedside chest X-ray have been well described and lead to poor-quality X-ray films with low sensitivity.The lung ultrasound has been shown to be a useful tool in intensive care patients with adult respiratory distress syndrome (ARDS) and can be used forassessing severity of lung involvement in COVID-19. In this paper the accuracy of bedside LUS, chest X-ray and computer tomography are compared based on clinical cases, typical for COVID-19 lung ultrasound appearance is evaluated. There have been shown that lung ultrasound can predict the deterioration of the patient's conditionand can be used for risk stratification and clinical decision making, reducethe use of both chest x‐rays and computer tomography, what is very important especially in limited resources settings.

scholarly journals Our Italian experience using lung ultrasound for identification, grading and serial follow‐up of severity of lung involvement for management of patients with COVID‐19

2020 ◽  
Vol 37 (4) ◽  
pp. 625-627 ◽  
Author(s):  
Luigi Vetrugno ◽  
Tiziana Bove ◽  
Daniele Orso ◽  
Federico Barbariol ◽  
Flavio Bassi ◽  
...  
Keyword(s):  
Lung Ultrasound ◽  
Lung Involvement ◽  
Italian Experience

scholarly journals COVID-19 multisystemic inflammatory syndrome in adults: a not to be missed diagnosis

2021 ◽  
Vol 14 (4) ◽  
pp. e241696
Author(s):  
Yale Tung-Chen ◽  
Ana Algora-Martín ◽  
Sonia Rodríguez-Roca ◽  
Alberto Díaz de Santiago
Keyword(s):  
Abdominal Pain ◽  
Lung Ultrasound ◽  
Cardiac Ultrasound ◽  
Atypical Presentation ◽  
Lung Involvement ◽  
Mild Abdominal Pain ◽  
Serology Test ◽  
Missed Diagnosis ◽  
Inflammatory Syndrome ◽  
Access Technique

We report COVID-19 multisystemic inflammatory syndrome in an adult patient with an atypical presentation (mild abdominal pain) and a negative (repeated) reverse transcriptase-PCR, in the absence of lung involvement on lung ultrasound. In this case, focused cardiac ultrasound revealed signs of myopericarditis and enabled us to focus on the problem that was putting our patient in a perilous situation, with a quick, non-time-consuming and easy-to-access technique. Serology test was performed and SARS-CoV-2 infection was confirmed more than a week after admission to the coronary unit. As the patient had a general good appearance, the potential implications of missing this diagnosis could have been fatal.

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