Variation of usual interstitial pneumonia using HRCT in Scleroderma Patients

Radiol Case Rep. 2021 Nov 27;17(2):336-339. doi: 10.1016/j.radcr.2021.10.057. eCollection 2022 Feb.

Abstract

Progressive Systemic Sclerosis or Scleroderma is a systemic inflammation marked by endothelial damaged, fibrosis, and inflammation in skin, joints, and visceral organs. Pulmonary hypertension and interstitial pulmonary disease (Ssc-ILD) are the most reported pulmonary complications in scleroderma patients. The pathogenesis of SSc- ILD is not well understood and the spectrum of SSc-ILD ranges from minimal lung involvement, which is often non-progressive, to severe illnesses. Usual Interstitial Pneumonia's (UIP) is one pattern of Ssc-ILD, marked in one-third of the patients with characteristic of honeycomb appearance and bronchiectasis. It is very important to determine the UIP based on radiology imaging especially with the presence of a poor prognosis in patients with UIP. This case report will discuss the importance of finding UIP-type ILD patterns based on HRCT in patients with scleroderma and different outcome.

Keywords: HRCT; Scleroderma; Systemic Sclerosis; Usual Interstitial Pneumonia.

Publication types

  • Case Reports