the many faces of sarcoidosis: radiology - wasog faces of... · hrct images of a sarcoidosis...
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The many faces of sarcoidosis: Radiology
© WASOG: educational material
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Chest radiographic stages in sarcoidosis
stage I
stage II stage IV
stage III
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Sarcoidosis Chest X-ray stage I
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Sarcoidosis Chest X-ray stage I
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Sarcoidosis Chest X-ray stage II
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Sarcoidosis Chest X-ray stage III
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Sarcoidosis Chest X-ray stage IV
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Visual HRCT score in sarcoidosisadapted from Oberstein et al. (1997)
Eur Radiology 2003; 13: 2462-71.
BVB: thickening or irregularity
of the bronchovascular bundle
PL: pleural
thickening
PC: parenchymal
consolidations
LN: lymph node
enlargement1.LS: septal lines
2.BVB
ND: intraparenchymal
nodules
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HRCT images of a sarcoidosis patient
A: mediastinal setting; enlarged
mediastinal lymph nodes, LN=3 (1)
B: parenchymal consolidations, PC=1 (1)
thickening or irregularity of the
bronchovascular bundle, BVB=2 (2)
C: septal lines, LS=2 (1)
BVB=2 (2)D: focal pleural thickening, PL=1 (1),
intraparenchymal nodules, ND=2 (2) © WASOG
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Chest X-ray PET/CT
CXR stage IV
Sarcoidosis patient with inflammation
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Case: 38-year-old woman
before MTX after MTX
Treatment MTX 12.5 mg once a week subcutaneous
folic acid 5 mg twice a week
prednisone 7.5 mg daily orally© WASOG
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Case: 36-year-old man
TreatmentMTX 12.5 mg once a week orally
Folic acid 5 mg once a week
Prednisone 10 mg daily
HRCT before MTX HRCT after 6 months MTX
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WASOG
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Association for
Sarcoidosis and
Other
Granulomatous Disorders
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