镓-67闪烁扫描术在慢性结节病性肌病诊断与治疗中的应用

Gallium-67 scintigraphy in the diagnosis and management of chronic sarcoid myopathy.

作者信息

Suehiro S, Shiokawa S, Taniguchi S, Sakai Y, Goda H, Shiratsuchi M, Sugimura T, Hatakenaka M, Yoshikawa Y, Ikuyama S, Nishimura J

机构信息

Department of Immunobiology and Neuroscience, Medical Institute of Bioregulation, Kyushu University, Tsurumihara 4546, Beppu, Oita 874-0838, Japan.

出版信息

Clin Rheumatol. 2003 May;22(2):146-8. doi: 10.1007/s10067-002-0686-x.

DOI:10.1007/s10067-002-0686-x

PMID:12740682

Abstract

The authors describe a patient with chronic sarcoid myopathy. Except for the presence of left posterior synechia, no other organ involvement was observed. Gallium-67 ((67)Ga) scintigraphy showed many intense nodular uptake areas in both the upper and lower extremities. Treatment with oral prednisolone 30 mg/day resulted in a marked improvement on (67)Ga scintigraphy. This case suggests that (67)Ga scintigraphy is useful for the differential diagnosis of systemic myopathies and also for monitoring the effect of glucocorticoid treatment.

摘要

作者描述了一名患有慢性结节病性肌病的患者。除了存在左后粘连外，未观察到其他器官受累。镓-67（⁶⁷Ga）闪烁扫描显示上肢和下肢均有许多强烈的结节状摄取区域。口服泼尼松龙30mg/天治疗后，⁶⁷Ga闪烁扫描有明显改善。该病例表明，⁶⁷Ga闪烁扫描有助于系统性肌病的鉴别诊断，也有助于监测糖皮质激素治疗的效果。