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  • Title: Churg-Strauss syndrome versus chronic eosinophilic pneumonia on high-resolution computed tomographic findings.
    Author: Furuiye M, Yoshimura N, Kobayashi A, Tamaoka M, Miyazaki Y, Ohtani Y, Miyake S, Inase N, Yoshizawa Y.
    Journal: J Comput Assist Tomogr; 2010 Jan; 34(1):19-22. PubMed ID: 20118716.
    Abstract:
    OBJECTIVES: The aim of this study was to compare the high-resolution computed tomographic findings between Churg-Strauss syndrome (CSS) and chronic eosinophilic pneumonia (CEP). METHODS: We retrospectively reviewed the clinical records of 16 patients with CSS and 34 patients with CEP. RESULTS: Twelve (35%) of the 34 patients with CEP had a history of asthma. Although the subpleural distribution of ground-glass opacities (GGOs) and consolidation was common both in CSS and CEP, the midzone distribution was more frequent in CSS (44%) than in CEP (12%). Centrilobular nodules within GGOs were significantly more frequent in CSS (56%) than in CEP (18%). In contrast, traction bronchiectasis associated with volume loss was demonstrated more frequently in CEP (74%) than in CSS (25%). CONCLUSIONS: On high-resolution computed tomography, the presence of the midzone distribution and nodules within GGOs without traction bronchiectasis suggests CSS rather than CEP.
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