18F-FDG PET/CT 在结节性多动脉炎评估中的应用

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Clinical Nuclear Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-24 DOI:10.1097/RLU.0000000000005517

Parker J Brown, Steve Huang, Felipe Martinez

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引用次数: 0

摘要

摘要：一名 61 岁的男子因远端感觉运动症状、乏力和反复发烧前来就诊，他有人类免疫缺陷病毒病史，接受抗逆转录病毒治疗后病情得到良好控制。红细胞沉降率和 C 反应蛋白均升高。抗中性粒细胞抗体和抗核抗体均为阴性。神经系统成像检查无异常。18F-FDG PET/CT 是诊断的关键，它显示整个中型血管都有病理示踪剂活动，但主动脉除外。根据患者的表现、合并症和影像学检查结果，诊断为结节性多动脉炎。患者接受了适当的类固醇和环磷酰胺治疗，症状明显好转。

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18 F-FDG PET/CT in the Evaluation of Polyarteritis Nodosa.

Abstract: A 61-year-old man with a medical history of human immunodeficiency virus well controlled on antiretroviral therapy presented for distal sensorimotor symptoms, fatigue, and recurrent fevers. Erythrocyte sedimentation rate and C-reactive protein were both elevated. Antineutrophilic cytoplasmic antibody and antinuclear antibodies were negative. Neurologic imaging workup was unremarkable. 18 F-FDG PET/CT, which was crucial for diagnosis, demonstrated pathological tracer activity throughout the medium-sized vessels with sparing of the aorta. In view of presentation, comorbidities, and imaging findings, polyarteritis nodosa was diagnosed. The patient was treated appropriately with steroids and cyclophosphamide with significant symptomatic improvement.

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来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.