Computed tomography in hypersensitivity pneumonitis: main findings, differential diagnosis and pitfalls

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Citações na Scopus
21
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
TAYLOR & FRANCIS LTD
Autores
PENNATI, Francesca
ALIVERTI, Andrea
Citação
EXPERT REVIEW OF RESPIRATORY MEDICINE, v.12, n.1, p.5-13, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction: Hypersensitivity pneumonitis (HP) is a disease with variable clinical presentation in which inflammation in the lung parenchyma is caused by the inhalation of specific organic antigens or low molecular weight substances in genetically susceptible individuals. Alterations of the acute, subacute and chronic forms may eventually overlap, and the diagnosis based on temporality and presence of fibrosis (acute/inflammatory HP vs. chronic HP) seems to be more feasible and useful in clinical practice. Differential diagnosis of chronic HP with other interstitial fibrotic diseases is challenging due to the overlap of the clinical history, and the functional and imaging findings of these pathologies in the terminal stages.Areas covered: This article reviews the essential features of HP with emphasis on imaging features. Moreover, the main methodological limitations of high-resolution computed tomography (HRCT) interpretation are discussed, as well as new perspectives with volumetric quantitative CT analysis as a useful tool for retrieving detailed and accurate information from the lung parenchyma.Expert commentary: Mosaic attenuation is a prominent feature of this disease, but air trapping in chronic HP seems overestimated. Quantitative analysis has the potential to estimate the involvement of the pulmonary parenchyma more accurately and could correlate better with pulmonary function results.
Palavras-chave
Hypersensitivity pneumonitis, spiral computer tomography, small airway disease, air trapping
URI
https://observatorio.fm.usp.br/handle/OPI/24900
Referências
  1. ADLER BD, 1992, RADIOLOGY, V185, P91, DOI 10.1148/radiology.185.1.1523340
  2. Agrawal A, 2013, LUNG INDIA, V30, P327, DOI 10.4103/0970-2113.120610
  3. AKIRA M, 1992, AM J ROENTGENOL, V158, P1223, DOI 10.2214/ajr.158.6.1590111
  4. Baldi BG, 2017, J BRAS PNEUMOL, V43, P140, DOI [10.1590/S1806-37562016000000341, 10.1590/s1806-37562016000000341]
  5. Barrera L, 2008, AM J RESP CRIT CARE, V177, P44, DOI 10.1164/rccm.200701-093OC
  6. Barrios RJ, 2008, ARCH PATHOL LAB MED, V132, P199, DOI 10.1043/1543-2165(2008)132[199:HPH]2.0.CO;2
  7. Blanchet MR, 2004, AM J RESP CRIT CARE, V169, P903, DOI 10.1164/rccm.200210-1154OC
  8. BUSCHMAN DL, 1992, AM J ROENTGENOL, V159, P957, DOI 10.2214/ajr.159.5.1414806
  9. Bustos ML, 2007, AM J RESP CRIT CARE, V176, P90, DOI 10.1164/rccm.200608-1129OC
  10. Chong BJ, 2014, J THORAC IMAG, V29, pW13, DOI 10.1097/RTI.0000000000000067
  11. Chung JH, 2017, ANN AM THORAC SOC, V14, P1533, DOI 10.1513/AnnalsATS.201701-035OC
  12. Cormier Y, 2000, Curr Opin Pulm Med, V6, P420, DOI 10.1097/00063198-200009000-00006
  13. COULTAS DB, 1994, AM J RESP CRIT CARE, V150, P967, DOI 10.1164/ajrccm.150.4.7921471
  14. EARIS JE, 1982, THORAX, V37, P923, DOI 10.1136/thx.37.12.923
  15. Elicker BM, 2016, J THORAC IMAG, V31, P92, DOI 10.1097/RTI.0000000000000186
  16. Franquet T, 2003, J COMPUT ASSIST TOMO, V27, P475, DOI 10.1097/00004728-200307000-00003
  17. Grunes D, 2013, J CLIN PATHOL, V66, P888, DOI 10.1136/jclinpath-2012-201337
  18. Hanak V, 2008, CHEST, V134, P133, DOI 10.1378/chest.07-3005
  19. Hansell DM, 2008, RADIOLOGY, V246, P697, DOI 10.1148/radiol.2462070712
  20. Hansell DM, 1996, RADIOLOGY, V199, P123, DOI 10.1148/radiology.199.1.8633133
  21. HODGSON MJ, 1989, AM J IND MED, V16, P45, DOI 10.1002/ajim.4700160106
  22. Jacob J, 2017, EUR RADIOL, V27, P3635, DOI 10.1007/s00330-016-4697-4
  23. Jinta T, 2010, AM J CLIN PATHOL, V134, P613, DOI 10.1309/AJCPK8RPQX7TQRQC
  24. Johannson KA, 2016, THORAX, V71, P951, DOI 10.1136/thoraxjnl-2016-208286
  25. Kligerman SJ, 2015, RADIOGRAPHICS, V35, P1360, DOI 10.1148/rg.2015140308
  26. Lacasse Y, 2003, AM J RESP CRIT CARE, V168, P952, DOI 10.1164/rccm.200301-137OC
  27. Lacasse Y, 2012, CHEST, V142, P208, DOI 10.1378/chest.11-2479
  28. Lacasse Y, 2009, INT ARCH ALLERGY IMM, V149, P161, DOI 10.1159/000189200
  29. Lima MS, 2009, RESP MED, V103, P508, DOI 10.1016/j.rmed.2008.12.016
  30. LYNCH DA, 1995, AM J ROENTGENOL, V165, P807, DOI 10.2214/ajr.165.4.7676971
  31. MACKLEM PT, 1967, J APPL PHYSIOL, V22, P395
  32. Magee AL, 2016, RADIOL CLIN N AM, V54, P1033, DOI 10.1016/j.rcl.2016.05.013
  33. Miller Wallace T Jr, 2014, Ann Am Thorac Soc, V11, P874, DOI 10.1513/AnnalsATS.201311-390OC
  34. Mooney JJ, 2013, CHEST, V144, P586, DOI 10.1378/chest.12-2623
  35. Morell F, 2013, LANCET RESP MED, V1, P685, DOI 10.1016/S2213-2600(13)70191-7
  36. Myers JL, 2012, MODERN PATHOL, V25, pS58, DOI 10.1038/modpathol.2011.152
  37. Okamoto T, 2013, RESPIRATION, V85, P384, DOI 10.1159/000338123
  38. Park CS, 1997, RADIOLOGY, V203, P361, DOI 10.1148/radiology.203.2.9114089
  39. REMYJARDIN M, 1993, RADIOLOGY, V189, P111, DOI 10.1148/radiology.189.1.8372179
  40. Sahin H, 2007, RADIOLOGY, V244, P591, DOI 10.1148/radiol.2442060640
  41. Salisbury ML, 2017, AM J RESP CRIT CARE, V196, P690, DOI 10.1164/rccm.201608-1675PP
  42. SCHOFIELD NM, 1976, AM REV RESPIR DIS, V113, P729
  43. Selman M, 2006, AM J RESP CRIT CARE, V173, P188, DOI 10.1164/rccm.200504-644OC
  44. Selman M, 2012, AM J RESP CRIT CARE, V186, P314, DOI 10.1164/rccm.201203-0513CI
  45. Silva CIS, 2008, RADIOLOGY, V246, P288, DOI 10.1148/radiol.2453061881
  46. Silva CIS, 2007, AM J ROENTGENOL, V188, P334, DOI 10.2214/AJR.05.1826
  47. Small JH, 1996, CLIN RADIOL, V51, P684, DOI 10.1016/S0009-9260(96)80238-8
  48. Soumagne T, 2015, BMJ CASE REPORTS, V2015, DOI [10.1136/bcr-2015-211560, DOI 10.1136/BCR-2015-211560]
  49. Takemura T, 2012, HISTOPATHOLOGY, V61, P1026, DOI 10.1111/j.1365-2559.2012.04322.x
  50. Tateishi T, 2011, J COMPUT ASSIST TOMO, V35, P272, DOI 10.1097/RCT.0b013e318209c5a6
  51. TUNG KT, 1993, THORAX, V48, P334, DOI 10.1136/thx.48.4.334
  52. Vasakova M, 2017, AM J RESP CRIT CARE, V196, P680, DOI 10.1164/rccm.201611-2201PP
  53. VINCENT JM, 1992, RESP MED, V86, P135
  54. Walsh SLF, 2012, EUR RADIOL, V22, P1672, DOI 10.1007/s00330-012-2427-0
  55. WEBB WR, 1993, RADIOLOGY, V186, P117, DOI 10.1148/radiology.186.1.8416550

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - LIM/09
Artigos e Materiais de Revistas Científicas - ODS/03