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Radiologisk och histologisk bild för en ökad förståelse vid covid-19

Mari Svensson, Ann ; Hansen, Tomas ; Nyren, Sven ; Csatlós, Martin and Brunnström, Hans LU orcid (2020) In Lakartidningen 117.
Abstract

We here describe the current knowledge about the radiologic and histologic pulmonary features of covid-19, caused by SARS-CoV-2, and present lung histology from a case with fatal disease. Initial findings on computed tomography (CT) typically include peripheral multifocal bilateral ground-glass opacities, and correspondingly microscopic alveolar edema. This is followed by peripheral consolidations with air bronchogram and perilobular pattern on CT, signs of organizing pneumonia, corresponding to loose (potentially reversible) fibrosis. The posterior parts of the lungs and the lower lobes are typically more markedly affected. In severe disease with acute respiratory distress syndrome, thickened interlobular septa and crazy paving pattern... (More)

We here describe the current knowledge about the radiologic and histologic pulmonary features of covid-19, caused by SARS-CoV-2, and present lung histology from a case with fatal disease. Initial findings on computed tomography (CT) typically include peripheral multifocal bilateral ground-glass opacities, and correspondingly microscopic alveolar edema. This is followed by peripheral consolidations with air bronchogram and perilobular pattern on CT, signs of organizing pneumonia, corresponding to loose (potentially reversible) fibrosis. The posterior parts of the lungs and the lower lobes are typically more markedly affected. In severe disease with acute respiratory distress syndrome, thickened interlobular septa and crazy paving pattern appear on CT, which corresponds to histologic diffuse alveolar damage with, depending on the stage of the disease, features such as edema, hyaline membranes, reactive epithelium, inflammation, and fibrosis.

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author
; ; ; and
organization
alternative title
Covid-19 - radiologic and histologic features
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
117
publisher
Swedish Medical Association
external identifiers
  • pmid:32484232
  • scopus:85085854550
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
227ee472-d785-4255-90f5-5ce1182d13f9
alternative location
https://lakartidningen.se/wp-content/uploads/2020/05/20086.pdf
date added to LUP
2021-01-14 08:48:50
date last changed
2024-04-03 23:13:21
@misc{227ee472-d785-4255-90f5-5ce1182d13f9,
  abstract     = {{<p>We here describe the current knowledge about the radiologic and histologic pulmonary features of covid-19, caused by SARS-CoV-2, and present lung histology from a case with fatal disease. Initial findings on computed tomography (CT) typically include peripheral multifocal bilateral ground-glass opacities, and correspondingly microscopic alveolar edema. This is followed by peripheral consolidations with air bronchogram and perilobular pattern on CT, signs of organizing pneumonia, corresponding to loose (potentially reversible) fibrosis. The posterior parts of the lungs and the lower lobes are typically more markedly affected. In severe disease with acute respiratory distress syndrome, thickened interlobular septa and crazy paving pattern appear on CT, which corresponds to histologic diffuse alveolar damage with, depending on the stage of the disease, features such as edema, hyaline membranes, reactive epithelium, inflammation, and fibrosis.</p>}},
  author       = {{Mari Svensson, Ann and Hansen, Tomas and Nyren, Sven and Csatlós, Martin and Brunnström, Hans}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{06}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Lakartidningen}},
  title        = {{Radiologisk och histologisk bild för en ökad förståelse vid covid-19}},
  url          = {{https://lakartidningen.se/wp-content/uploads/2020/05/20086.pdf}},
  volume       = {{117}},
  year         = {{2020}},
}