Working for healthier lungs. The 1989 winter meeting of the British Thoracic Society. 7 and 8 December, London. Abstracts. — Robert F. Miller (1990) | RDL Network
Working for healthier lungs. The 1989 winter meeting of the British Thoracic Society. 7 and 8 December, London. Abstracts.
Article 1990 en
Authors
RM
Robert F. Miller
AM
Ann Millar
PS
Pamela J. Shaw
Abstract
1 min read
The differentiation between Pneumocystis carinii pneumonia (PCP) and Kaposi's sarcoma can be difficult if an HIV positive patient presents with alveolar consolidation and/or interstitial shadowing on the chest radio- graph (CXR).We have compared the CXR and thoracic computed tomographic (CT) appearances of 31 HIV positive males during acute respiratory episodes in order to evaluate the role of CT in distinguishing PCP from Kaposi's sarcoma.In group 1 sixteen patients had PCP.Eleven patients in group 2 had Kaposi's sarcoma and in group 3 four patients had both PCP and Kaposi's sarcoma.Both CXR and CT were categorised as being normal (N) or showing one or more of the following abnormalities: interstitial shadow- ing (INT); alveolar consolidation (ALV); intrapulmonary nodules < 1 cm diameter (NOD); mediastinal and/or hilar lymphadenopathy (LN); pleural effusions (EFF); cystic air spaces (C); and on CT bronchial wall thickening (BT).Results were as follows: Interstitial shadowing, alveolar consolidation and intrapulmonary nodules do not help distinguish Kaposi's sarcoma from PCP.The presence of bronchial wall thickening and cystic air spaces suggest a diagnosis of PCP whereas pleural effusions and lymphadenopathy suggests Kaposi's sarcoma.These abnormalities, which are better demonstrated by CT, help distinguish PCP from intrapul- monary Kaposi's sarcoma.N INTALVNODLNEFF C BT Group I CXR 0 14 4 1 1 2 3 0 (n= 16) CT 0 14 10 7 5 2 6 9 Group2 CXR0 9 5 5 2 7 0 0 (n= 11) C 0 O 9 5 9
Edwin R. Chilvers, Peter J Barnes, Stefan R. Nahorski, Caroline Dixon, LUCKY CHOPRA, Jpt Ward, I. R. Cameron, G Ventresca, G. Nichol, A Nix, Kian Fan Chung, Qutayba Hamid, Jcw Mak, Lch John, Andrew Wood, P. T. Magee, C. E. Lewis, Margot Gosney, Crk Gosney, Mdw Hind, B. Ronan O’Driscoll, H. M. Notley
Arndt Vogel, Andrés Cervantes, Ian Chau, Bruno Daniele, Josep M. Llovet, Tim Meyer, Jean‐Charles Nault, Ulf P. Neumann, Jens Ricke, Bruno Sangro, Peter Schirmacher, Chris Verslype, Francis Zech, Dirk Arnold, Erika Martinelli
Robert Wilson, P. F. Jones, L Osman, James J. Douglas, C. P. Bredin, Seamas C. Donnelly, Clare Robertson, T. Parke, D J Steedman, P F Maycock, Rachel Little, A Ward, N Kassem, J. Evans, D Ganderton, R. L. Stone, Peter J Barnes, Kian Fan Chung, Joanne Thompson, James Hall, Jamie Scott, Alyn H. Morice
Peter J Barnes, A Barnett, Alistair Brewis, Sherwood Burge, R A Clark, David W Costain, G K Crompton, S.R. Durham, P Ebden, Dorothy D. Harrison, Pat Hartley, Sean Hilton, Stephen T. Holgate, F. Holmes, Andrew L. Hopkins, D J Lane, E Neville, Ron Neville, R. W. Page, Martyn R Partridge, M Pearson, N. B. Pride, Matthias Rudolf, D E Stableforth, ,
Discussion(0)
No comments yet. Be the first to comment.