Hallazgos en TCAR de la neumonitis por hipersensibilidad: a propósito de 10 casos*
High-resolution computed tomography findings in hypersensitivity pneumonitis: report of 10 cases
Teresa Díaz1
, Félix Serrano, Maribel Padín, Gador Sanabria, Gerardo Blanco
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Servicio de radiodiagnóstico. Complejo hospitalario Carlos Haya. Avenida Carlos Haya s/n. Málaga.
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Complejo hospitalario Carlos Haya. Avenida Carlos Haya s/n. Málaga." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: TERESA DÍAZ MARTÍ. C/ Luis Taboada 63. 29017 Málaga." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "High-resolution computed tomography findings in hypersensitivity pneumonitis: report of 10 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-04-28" "fechaAceptado" => "2000-12-15" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec226959" "palabras" => array:4 [ 0 => "Neumonitis por hipersensibilidad" 1 => "Alveolitis alérgica extrínseca" 2 => "TAC" 3 => "TCAR" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec226960" "palabras" => array:4 [ 0 => "Hypersensitivity pneumonitis" 1 => "Extrinsic allergic alveolitis" 2 => "Computed tomography" 3 => "High-resolution computed tomography" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo:</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo del presente trabajo es valorar los hallazgos de la tomografía computarizada de alta resolución (TCAR) en un gru-po de pacientes diagnosticados de neumonitis por hipersensibilidad.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio mediante TCAR en 10 pacientes (seis mujeres y cuatro varones) con edades comprendidas entre 19-56 años (media: 36,5) diagnosticados de neumonitis por hi-persensibilidad en estadios agudo-subagudo. Se ha realizado TCAR de tórax con cortes finos de 1,5 mm en el momento del diagnóstico y controles posteriores en seis pacientes.</p> <span class="elsevierStyleSectionTitle">Resultados:</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El estudio simple de tórax fue normal en tres casos. Los hallazgos más relevantes en la TCAR fueron la presencia de un patrón nodular (n=9) y un patrón en vidrio deslustrado (ocho casos). En cuatro casos se observaron áreas focales de disminución de densi-dad. Se encontraron adenopatías mediastínicas en cuatro pacientes.</p> <span class="elsevierStyleSectionTitle">Conclusiones:</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los hallazgos en la TCAR característicos de la neu-monitis por hipersensibilidad consisten en la presencia de nódulos cen-trolobulillares y un patrón en vidrio deslustrado.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective:</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The purpose of the present report was to assess the high-resolution computed tomography (HRCT) findings in a group of patients diagnosed as having hypersensitivity penumonitis.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Material and methods: HRCT was performed in 10 patients (6 women and 4 men) aged 19 to 56 years (mean: 36.5 years) who presented acute-subacute symptoms of hypersensitivity pneumonitis. Thin-section (1.5 mm) HRCT was carried out at the time of diagnosis in all 10 patients, and 6 underwent follow-up HRCT studies.</p> <span class="elsevierStyleSectionTitle">Results:</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Plain chest X-ray was normal in the three cases. The most relevant HRCT findings were the presence of a nodular pattern (n=9) and ground-glass opacity (n=8). Focal areas of decreased density were observed in 4 cases. Mediastinal adenopathy was detected in 4 patients.</p> <span class="elsevierStyleSectionTitle">Conclusions:</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The HRCT findings characteristic of hypersensitivity pneumonitis are centrilobular nodules and ground-glass opacity.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara">Díaz T, Serrano F, Padín M, et al. Hallazgos en TCAR de la neumonitis por hipersensibilidad: a propósito de 10 casos. Radiología 2001;43(1):13-17.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Air-trapping in extrinsic allergic alveolitis on computed tomography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Small" 1 => "C. Flower" 2 => "Z. Traill" 3 => "F. Gleeson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clinical Radiology" "fecha" => "1996" "volumen" => "51" "paginaInicial" => "684" "paginaFinal" => "688" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8893635" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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