Suehiro S, Shiokawa S, Taniguchi S, Sakai Y, Goda H, Shiratsuchi M, Sugimura T, Hatakenaka M, Yoshikawa Y, Ikuyama S, Nishimura J
Department of Immunobiology and Neuroscience, Medical Institute of Bioregulation, Kyushu University, Tsurumihara 4546, Beppu, Oita 874-0838, Japan.
Clin Rheumatol. 2003 May;22(2):146-8. doi: 10.1007/s10067-002-0686-x.
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.
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。