Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis

An 80-year-old man was treated with rituximab for active rheumatoid arthritis until 2019, now controlled with Salazopyrin, prednisolone, methotrexate, and folic acid. However, laboratory data showed elevated C-reactive protein and erythrocyte sedimentation rate. Whole-body bone scan showed bony and...

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Autores principales: Chuang, Tzyy-Ling, Chou, Shih-Chin, Chen, Yu-Ruei, Wang, Yuh-Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Interesting Images
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9169756/
https://www.ncbi.nlm.nih.gov/pubmed/35452005
http://dx.doi.org/10.1097/RLU.0000000000004160
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author Chuang, Tzyy-Ling
Chou, Shih-Chin
Chen, Yu-Ruei
Wang, Yuh-Feng
author_facet Chuang, Tzyy-Ling
Chou, Shih-Chin
Chen, Yu-Ruei
Wang, Yuh-Feng
author_sort Chuang, Tzyy-Ling
collection PubMed
description An 80-year-old man was treated with rituximab for active rheumatoid arthritis until 2019, now controlled with Salazopyrin, prednisolone, methotrexate, and folic acid. However, laboratory data showed elevated C-reactive protein and erythrocyte sedimentation rate. Whole-body bone scan showed bony and joint destruction to the upper cervical vertebra (C spine), bilateral shoulders, wrists, finger joints, ankles, and left knee. SPECT/CT localized the upper C spine uptake to the C1/C2 joint and adjacent C1 and C2 with C1/C2 subluxation. C spine CT showed vertical atlantoaxial subluxation and bony erosions.
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spelling pubmed-91697562022-06-08 Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis Chuang, Tzyy-Ling Chou, Shih-Chin Chen, Yu-Ruei Wang, Yuh-Feng Clin Nucl Med Interesting Images An 80-year-old man was treated with rituximab for active rheumatoid arthritis until 2019, now controlled with Salazopyrin, prednisolone, methotrexate, and folic acid. However, laboratory data showed elevated C-reactive protein and erythrocyte sedimentation rate. Whole-body bone scan showed bony and joint destruction to the upper cervical vertebra (C spine), bilateral shoulders, wrists, finger joints, ankles, and left knee. SPECT/CT localized the upper C spine uptake to the C1/C2 joint and adjacent C1 and C2 with C1/C2 subluxation. C spine CT showed vertical atlantoaxial subluxation and bony erosions. Lippincott Williams & Wilkins 2022-07 2022-04-22 /pmc/articles/PMC9169756/ /pubmed/35452005 http://dx.doi.org/10.1097/RLU.0000000000004160 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Interesting Images
Chuang, Tzyy-Ling
Chou, Shih-Chin
Chen, Yu-Ruei
Wang, Yuh-Feng
Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis
title Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis
title_full Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis
title_fullStr Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis
title_full_unstemmed Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis
title_short Bone Scan With SPECT/CT Demonstrated C1 to C2 Involvement in Rheumatic Arthritis
title_sort bone scan with spect/ct demonstrated c1 to c2 involvement in rheumatic arthritis
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9169756/
https://www.ncbi.nlm.nih.gov/pubmed/35452005
http://dx.doi.org/10.1097/RLU.0000000000004160
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