ABSTRACT
PURPOSE: To determine whether patients who have acute graft-versus-host disease (AGVHD), are more likely to have radiographically abnormal paranasal sinuses after bone marrow transplantation than patients without AGVHD. METHODS: This retrospective case-control study population comprised 45 adult allogeneic or matched unrelated donor patients who underwent bone marrow transplantation. Twenty-eight patients had AGVHD, and 17 patients did not. All patients had paranasal sinus imaging with either CT or plain films for evaluation of possible sinusitis after bone marrow transplantation. The severity of radiographic changes was measured with an objective scoring system based on mucosal findings. RESULTS: An odds ratio revealed no association between AGVHD and the presence of radiographically abnormal sinuses. CONCLUSION: The diagnosis of AGVHD should not complicate the radiographic evaluation of acute sinusitis after bone marrow transplantation.
Subject(s)
Bone Marrow Transplantation , Graft vs Host Disease/diagnostic imaging , Paranasal Sinus Diseases/diagnostic imaging , Tomography, X-Ray Computed , Acute Disease , Adult , Bone Marrow Transplantation/immunology , Case-Control Studies , Diagnosis, Differential , Female , Graft vs Host Disease/immunology , Humans , Immune Tolerance/immunology , Male , Middle Aged , Odds Ratio , Paranasal Sinus Diseases/immunology , Retrospective Studies , Sinusitis/diagnostic imagingABSTRACT
The authors review the computed tomographic (CT) features of thoracic tuberculosis and other mycobacterial infections throughout their progressive stages. The spectrum of parenchymal findings seen in mycobacterial disease as well as the chronic changes of prior tuberculosis are illustrated. Altered appearances of tuberculosis occurring in patients with preexisting chest diseases such as sarcoidosis and silicosis and those associated with acquired immunodeficiency syndrome are demonstrated. CT and conventional radiography are compared, and the advantages and complementary nature of CT are illustrated. The role of CT in evaluating complications of tuberculosis, including cavities, bronchogenic spread, bronchiectasis, and aspergilloma, is discussed.
