Transthoracic ultrasound sign in severe asthmatic patients: a lack of “gliding sign” mimic pneumothorax

Author:

Del Colle Anna1,Carpagnano Giovanna Elisiana1,Feragalli Beatrice2,Foschino Barbaro Maria Pia3,Lacedonia Donato1,Scioscia Giulia1,Quarato Carla Maria Irene1,Buonamico Enrico4,Tinti Maria Giulia5,Rea Gaetano6,Cipriani Cristiana7,Frongillo Elisabettamaria8,De Cosmo Salvatore5,Guglielmi Giuseppe9,Sperandeo Marco10

Affiliation:

1. Institute of Respiratory Disease, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy

2. Department of Medical, Oral and Biotechnological Sciences, “G d’Annunzio”, Adriatic University, Chieti, Italy

3. Department of Medical and Surgical Sciences, University of Foggia, Italy

4. Institute of Respiratory Disease, Aldo Moro University of Bari, Bari, Italy

5. Department of Internal Medicine IRCCS Fondazione Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy

6. Department of Radiology, Ultrasound Diagnostic Unit, Monaldi Hospital, AO dei Colli, Naples, Italy

7. Department of Internal Medicine and Medical Disciplines, “Sapienza” University of Rome, Italy

8. Unit of Thoracic Surgery, IRCCS Fondazione Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy

9. Institute of Radiology Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy

10. Unit of Interventional and Diagnostic Ultrasound of Internal Medicine IRCCS Fondazione Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy

Abstract

Transthoracic ultrasound (TUS) is a validate complementary technique widely used in everyday medical practice. TUS is the gold-standard for studying pleural effusion and for echo-guided thoracentesis, moreover, it is employed in detection of pleural and pulmonary lesions adherent to pleural surface and their ccho-guided percutaneous needle biopsy (PTNB). 1 We used TUS technique to study severe asthma patients. We found that several patterns are constant in these patients. One of these patterns, i.e. lack of gliding sign, mimic pneumothorax (PNX). In this study, we attempted an echographic approach to asthma, trying to lay the first stone for the individuation of common ultrasound patterns in this disease.

Publisher

British Institute of Radiology

Subject

Pharmacology (medical),Complementary and alternative medicine,Pharmaceutical Science

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