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Non‐specific interstitial pneumonia associated with clinically amyopathic dermatomyositis showing “crazy paving” appearance on thin‐section lung CT
Author(s) -
Aono Yuya,
Eifuku Tatsuru,
Uto Tomohiro,
Sato Jun,
Imokawa Shiro,
Suda Takafumi
Publication year - 2018
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.326
Subject(s) - medicine , dermatomyositis , lung , radiology , pneumonia , computed tomography , differential diagnosis , interstitial pneumonia , thin section , interstitial lung disease , pathology , chemistry , mineralogy
The “crazy paving” appearance consists of ground‐glass opacity superimposed on a network of linear opacities on thin‐section computed tomography (CT) images of the lung. This finding has been described in a variety of diseases but is extremely rare in patients with non‐specific interstitial pneumonia (NSIP). We describe a 45‐year‐old woman with biopsy‐proven NSIP associated with clinically amyopathic dermatomyositis that showed a “crazy paving” appearance on thin‐section CT of the lung. Clinicians should include NSIP in the differential diagnosis in patients presenting with “crazy paving” appearance on thin‐section chest CT.

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