A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis

We herein report a case of large-vessel vasculitis in a 57-year-old woman who developed an intermittent fever and weight loss. While contrast-enhanced computed tomography was noncontributory, positron emission tomography-computed tomography (PET-CT) revealed the diffuse, intense uptake of fluorodeox...

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Autores principales: Ie, Kenya, Sakai, Tsubasa, Kurosu, Eri, Motohashi, Iori, Yagihashi, Kunihiro, Okuse, Chiaki, Matsuda, Takahide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866796/
https://www.ncbi.nlm.nih.gov/pubmed/34334568
http://dx.doi.org/10.2169/internalmedicine.7772-21
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author Ie, Kenya
Sakai, Tsubasa
Kurosu, Eri
Motohashi, Iori
Yagihashi, Kunihiro
Okuse, Chiaki
Matsuda, Takahide
author_facet Ie, Kenya
Sakai, Tsubasa
Kurosu, Eri
Motohashi, Iori
Yagihashi, Kunihiro
Okuse, Chiaki
Matsuda, Takahide
author_sort Ie, Kenya
collection PubMed
description We herein report a case of large-vessel vasculitis in a 57-year-old woman who developed an intermittent fever and weight loss. While contrast-enhanced computed tomography was noncontributory, positron emission tomography-computed tomography (PET-CT) revealed the diffuse, intense uptake of fluorodeoxyglucose (FDG) in the aorta and its branches. Although she had no signs of relapse after successful oral corticosteroid therapy, PET-CT at 30 months revealed a persistent FDG uptake in the large vessels, which warranted regular follow-up imaging for vascular complications. In cases with an intense FDG uptake at the diagnosis, PET-CT follow-up after clinical remission may help predict the risk of relapse and vascular complications.
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spelling pubmed-88667962022-03-14 A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis Ie, Kenya Sakai, Tsubasa Kurosu, Eri Motohashi, Iori Yagihashi, Kunihiro Okuse, Chiaki Matsuda, Takahide Intern Med Case Report We herein report a case of large-vessel vasculitis in a 57-year-old woman who developed an intermittent fever and weight loss. While contrast-enhanced computed tomography was noncontributory, positron emission tomography-computed tomography (PET-CT) revealed the diffuse, intense uptake of fluorodeoxyglucose (FDG) in the aorta and its branches. Although she had no signs of relapse after successful oral corticosteroid therapy, PET-CT at 30 months revealed a persistent FDG uptake in the large vessels, which warranted regular follow-up imaging for vascular complications. In cases with an intense FDG uptake at the diagnosis, PET-CT follow-up after clinical remission may help predict the risk of relapse and vascular complications. The Japanese Society of Internal Medicine 2021-07-30 2022-02-01 /pmc/articles/PMC8866796/ /pubmed/34334568 http://dx.doi.org/10.2169/internalmedicine.7772-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ie, Kenya
Sakai, Tsubasa
Kurosu, Eri
Motohashi, Iori
Yagihashi, Kunihiro
Okuse, Chiaki
Matsuda, Takahide
A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis
title A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis
title_full A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis
title_fullStr A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis
title_full_unstemmed A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis
title_short A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis
title_sort long-term persistent vascular fluorodeoxyglucose uptake in a patient with large-vessel vasculitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866796/
https://www.ncbi.nlm.nih.gov/pubmed/34334568
http://dx.doi.org/10.2169/internalmedicine.7772-21
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