Isolated Muscular Sarcoidosis Revealed by Hypercalcemia and 18F-FDG PET/CT

被引：5

作者：

Dhomps, Anthony ^{[1
]}

Foret, Thibault ^{[1
]}

Streichenberger, Nathalie ^{[2
]}

Skanjeti, Andrea ^{[3
]}

Tordo, Jeremie ^{[1
]}

机构：

[1] Ctr Hosp Lyon Sud, Hosp Civils Lyon, Dept Nucl Med, Lyon, France

[2] Ctr Hosp Lyon Sud, Dept Pathol, Lyon, France

[3] Claude Bernard Lyon 1 Univ, Hosp Civils Lyon, Ctr Hosp Lyon Sud, Dept Nucl Med, Pierre Benite, France

来源：

CLINICAL NUCLEAR MEDICINE | 2019年 / 44卷 / 10期

关键词：

FDG; PET/CT; myositis; muscular sarcoidosis; hypercalcemia;

D O I：

10.1097/RLU.0000000000002678

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

A 43-year-old woman, with previous history of renal lithiasis, was admitted on an emergency for severe hypercalcemia fortuitously discovered in a context of rapidly progressive kidney failure. An F-18-FDG PET/CT performed to rule out underlying malignancy revealed an intense diffuse and isolated muscular FDG uptake with fascia infiltration on the CT finding. A muscular biopsy was performed and demonstrated a non-necrosing granuloma with multinucleated giant cells consistent with muscular sarcoidosis. A corticotherapy was started with a rapid normalization of serum calcium level. The follow-up F-18-FDG PET/CT 4 months later showed a complete response of the sarcoidosis myositis.

引用

页码：824 / 825

页数：2

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