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© 1991 British Society for Rheumatology

brief-report

HIGH DEFINITION COMPUTED TOMOGRAPHY IN RHEUMATOID ARTHRITIS ASSOCIATED PULMONARY DISEASE

H. E. FEWINS, I. McGOWAN, G. H. WHITEHOUSE, J. WILLIAMS and R. MALLYA

University Department of Radiodiagnosis, Royal Liverpool Hospital PO Box 147, Liverpool L69 3BX

Correspondence to: Correspondence to Dr H. Fewins.

Eighteen patients with rheumatoid arthritis (American Rheumatism Association definition) were selected consecutively from a rheumatology clinic. All patients were examined with plain chest radiographs, thin slice computed tomography, and pulmonary function tests. Four patients with normal chest radiographs, and normal pulmonary function tests were found to have normal CT scans. In ten patients, abnormalities consistent with rheumatoid associated lung disease were demonstrated, including changes of interstitial fibrosis in seven cases. This fibrosis had a predominantly peripheral pattern on CT scan. Computed tomography was found to be more sensitive than plain radiographs in detecting abnormalities however, all the patients in this series with CT lung changes had abnormalities on pulmonary function testing.

KEY WORDS: Computed tomography, Rheumatoid arthritis, Interstitial pulmonary fibrosis


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