Department of Clinical Radiology, Kyushu University, Fukuoka, Japan.
Clin Nucl Med. 2012 Oct;37(10):997-1000. doi: 10.1097/PCR.0b013e3182675159.
Acquired perforating dermatosis (APD) is an uncommon cutaneous perforating disorder. We report a patient on hemodialysis who developed skin eruption and jaundice. He underwent FDG PET/CT under suspicion of biliary malignancies. PET/CT showed no significant abnormal uptake except of multiple FDG-avid nodules in the skin. The eruption he had was histopathologically diagnosed as APD by skin biopsy. His case suggests that APD should be considered as a differential diagnosis when multiple cutaneous FDG accumulations are found in a patient on hemodialysis. To the best of our knowledge, this is the first report showing the FDG PET/CT findings of APD.
获得性穿孔性皮肤病(APD)是一种罕见的皮肤穿孔性疾病。我们报告了一例血液透析患者出现皮肤疹和黄疸。他因怀疑胆道恶性肿瘤而行 FDG PET/CT 检查。除皮肤多发 FDG 摄取结节外,PET/CT 未见明显异常摄取。皮肤活检病理诊断为 APD。他的病例提示,当血液透析患者出现多发皮肤 FDG 积聚时,应考虑 APD 作为鉴别诊断。据我们所知,这是首例报告 FDG PET/CT 发现 APD 的病例。