Sickle cell patient with an acute chest syndrome and a negative chest X-ray: potential role of the ventilation and perfusion (V/Q) lung scan.
Acute chest syndrome (ACS) in sickle cell disease is caused by thromboemboli in the pulmonary vasculature. The diagnostic criteria include the presence of pulmonary infiltrate(s) on chest x-ray. This case report suggests that a V/Q scan may play a diagnostic role in sickle cell patients with symptoms of ACS and a negative chest x-ray.
Department of Medicine, Finch University of Health Sciences/The Chicago Medical School at Mount Sinai Hospital Medical Center, Chicago, Illinois 60608, USA. FEKK@sinai.org
Lawrence
L
Feldman
Robert
R
Gross
Jack
J
Garon
Anitha
A
Nallari
Navleen
N
Kaur
Bharat
B
Motwani
Sunitha
S
Sukumaran
Sandra
S
Allen
Maxwell
M
Westerman
D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications* / Q000000981:diagnostic imaging; D004417:Dyspnea; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis / Q000209:etiology; D013902:Radiography, Thoracic; D014692:Ventilation-Perfusion Ratio