Fibrobullous disease of the upper lobes: An extraskeletal manifestation of ankylosing spondylitis

ArticleinJournal of Computed Tomography 8(3):225-9 · August 1984with11 Reads
DOI: 10.1016/0149-936X(84)90066-3 · Source: PubMed


    Fibrobullous disease of the upper lobes of the lungs is a rare extraskeletal manifestation of ankylosing spondylitis, occurring in 1.3% of patients with ankylosing spondylitis. We present a patient with this disease, and discuss this pulmonary manifestation. Because the radiographic appearance of the chest in this disease resembles that in tuberculosis, many patients are misdiagnosed and treated for tuberculosis despite negative bacteriology. Computed tomography is useful in delineating the extent of pleural thickening, bullous changes, volume loss, parenchymal fibrosis, and bronchiectasis, as well as identifying or excluding an intracavitary pulmonary mycetoma.