Laroche, C.M., Mulvey, D.A., Hawkins, P.N., Walport, M.J., Strickland, B., Moxham, J. and Green, M. (1989) Diaphragm Strength in the Shrinking Lung Syndrome of Systemic Lupus Erythematosus. The Quarterly Journal of Medicine, 71, 429-439.

has been cited by the following article:

• TITLE: Shrinking Lung Detected on Computed Tomography: Pictorial Essay of the Main Findings of the Image

  AUTHORS: Francisco Barbosa de Araújo Neto, Tiago Castello Branco Lyra, Rita Karine Veras Gomes de Mello, Vinícius Martins Valois, Tiago Bezerra Albano, Antônio Fernando Lins de Paiva, Rodrigo Caruso Chate, Cesar Higar Nomura

  KEYWORDS: Chest Tomography, Pulmonary Diseases, Systemic Lupus Erythematosus, Shrinking Lung

  JOURNAL NAME: Open Journal of Medical Imaging, Vol.8 No.2, June 15, 2018

  ABSTRACT: Shrinking lung refers to a rare complication of systemic lupus erythematosus and is characterized by unexplained dyspnea, a restrictive pattern in lung function tests, and elevation of the diaphragmatic hemicuples. It is postulated to have a predilection for female involvement and occurs mainly during late stages of the disease. Chest X-rays usually show small, diaphragmatic lungs. Occasional basal atelectasis may be present. Chest tomography usually shows reduced lung volumes with diaphragmatic elevation, occasional basal atelectasis, without severe pulmonary or pleuropulmonary disease. Shrinking lung can cause significant morbidity and occasional mortality. There is no definitive therapy, while corticosteroids may decrease symptoms and improve lung function in some patients. The objective of this study was to describe the main imaging findings in Shrinking Lung, an important pulmonary alteration in lupus patients. We highlight the characteristics observed on radiography and computed tomography, with an emphasis on computed tomography. It is important that every radiologist is prepared to recognize these findings and understand the possible clinical repercussions.