Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease
Inflammatory bowel disease (IBD) is a form of chronic inflammation of the gastrointestinal tract, including two major entities: ulcerative colitis and Crohn’s disease. Although intestinal imaging of IBD is well known, imaging of extraintestinal manifestations is not extensively covered. In particula...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2018/5697846 |
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| author | Diletta Cozzi Chiara Moroni Gloria Addeo Ginevra Danti Monica Marina Lanzetta Edoardo Cavigli Massimo Falchini Fabio Marra Claudia Lucia Piccolo Luca Brunese Vittorio Miele |
| author_facet | Diletta Cozzi Chiara Moroni Gloria Addeo Ginevra Danti Monica Marina Lanzetta Edoardo Cavigli Massimo Falchini Fabio Marra Claudia Lucia Piccolo Luca Brunese Vittorio Miele |
| author_sort | Diletta Cozzi |
| collection | DOAJ |
| description | Inflammatory bowel disease (IBD) is a form of chronic inflammation of the gastrointestinal tract, including two major entities: ulcerative colitis and Crohn’s disease. Although intestinal imaging of IBD is well known, imaging of extraintestinal manifestations is not extensively covered. In particular, the spectrum of IBD-associated or related changes in the chest is broad and may mimic other conditions. The common embryonic origin of intestine and lungs from the foregut, autoimmunity, smoking, and bacterial translocation from the colon may all be involved in the pathogenesis of these manifestations in IBD patients. Chest involvement in IBD can present concomitant with or years after the onset of the bowel disease even postcolectomy and can affect more than one thoracic structure. The purpose of the present paper is to present the different radiological spectrum of IBD-related chest manifestations, including lung parenchyma, airways, serosal surfaces, and pulmonary vasculature. The most prevalent and distinctive pattern of respiratory involvement is large airway inflammation, followed by lung alterations. Pulmonary manifestations are mainly detected by pulmonary function tests and high-resolution computed tomography (HRCT). It is desirable that radiologists know the various radiological patterns of possible respiratory involvement in such patients, especially at HRCT. It is essential for radiologists to work in multidisciplinary teams in order to establish the correct diagnosis and treatment, which rests on corticosteroids at variance with any other form of bronchiectasis. |
| format | Article |
| id | doaj-art-af943c9009bd4fa6bd0a5014d3567c1a |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-af943c9009bd4fa6bd0a5014d3567c1a2025-02-03T01:30:28ZengWileyGastroenterology Research and Practice1687-61211687-630X2018-01-01201810.1155/2018/56978465697846Radiological Patterns of Lung Involvement in Inflammatory Bowel DiseaseDiletta Cozzi0Chiara Moroni1Gloria Addeo2Ginevra Danti3Monica Marina Lanzetta4Edoardo Cavigli5Massimo Falchini6Fabio Marra7Claudia Lucia Piccolo8Luca Brunese9Vittorio Miele10Department of Radiology, Careggi University Hospital, Florence, ItalyDepartment of Radiology, Careggi University Hospital, Florence, ItalyDepartment of Radiology, Careggi University Hospital, Florence, ItalyDepartment of Radiology, Careggi University Hospital, Florence, ItalyDepartment of Radiology, Careggi University Hospital, Florence, ItalyDepartment of Radiology, Careggi University Hospital, Florence, ItalyDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit No. 2, University of Florence-Careggi University Hospital, Florence, ItalyDepartment of Clinical and Experimental Medicine, Internal Medicine and Hepatology, University of Florence, Florence, ItalyDepartment of Medicine and Health Sciences, University of Molise, Campobasso, ItalyDepartment of Medicine and Health Sciences, University of Molise, Campobasso, ItalyDepartment of Radiology, Careggi University Hospital, Florence, ItalyInflammatory bowel disease (IBD) is a form of chronic inflammation of the gastrointestinal tract, including two major entities: ulcerative colitis and Crohn’s disease. Although intestinal imaging of IBD is well known, imaging of extraintestinal manifestations is not extensively covered. In particular, the spectrum of IBD-associated or related changes in the chest is broad and may mimic other conditions. The common embryonic origin of intestine and lungs from the foregut, autoimmunity, smoking, and bacterial translocation from the colon may all be involved in the pathogenesis of these manifestations in IBD patients. Chest involvement in IBD can present concomitant with or years after the onset of the bowel disease even postcolectomy and can affect more than one thoracic structure. The purpose of the present paper is to present the different radiological spectrum of IBD-related chest manifestations, including lung parenchyma, airways, serosal surfaces, and pulmonary vasculature. The most prevalent and distinctive pattern of respiratory involvement is large airway inflammation, followed by lung alterations. Pulmonary manifestations are mainly detected by pulmonary function tests and high-resolution computed tomography (HRCT). It is desirable that radiologists know the various radiological patterns of possible respiratory involvement in such patients, especially at HRCT. It is essential for radiologists to work in multidisciplinary teams in order to establish the correct diagnosis and treatment, which rests on corticosteroids at variance with any other form of bronchiectasis.http://dx.doi.org/10.1155/2018/5697846 |
| spellingShingle | Diletta Cozzi Chiara Moroni Gloria Addeo Ginevra Danti Monica Marina Lanzetta Edoardo Cavigli Massimo Falchini Fabio Marra Claudia Lucia Piccolo Luca Brunese Vittorio Miele Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease Gastroenterology Research and Practice |
| title | Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease |
| title_full | Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease |
| title_fullStr | Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease |
| title_full_unstemmed | Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease |
| title_short | Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease |
| title_sort | radiological patterns of lung involvement in inflammatory bowel disease |
| url | http://dx.doi.org/10.1155/2018/5697846 |
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