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Lupus

Abnormal chest xray in SLE patient

10/08/1999

Question:

My doctor has found an abnormal chest x-ray. I have seen a pulmanologist and two rehumatologists. One has said it could be sarcoid, and one thinks it could be lupus. I do have SLE. The pulmanologist wants me to have a open lung biop. One rehum. wants a bronch. lavage done. What is the best way to dianose the cause of the things seen.

Answer:

There is a long list of causes for an abnormal chest Xray including infections, SLE & sarcoid. Both of the procedures are used to evaluate the possible causes. The choice depends on the type of abnormality noted on the XRay, the associated and other clinical features and physician & patient preferences. This format does not allow me to recommend one procedure over the other.

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Response by:

Anne-Barbara Mongey, MD
Formerly, Director, Arthritis Clinic, Univerity Hospital
College of Medicine
University of Cincinnati