Miller Christina T, Sweiss Nadera J, Lu Yang
From the Departments of *Radiology and †Medicine, University of Illinois Hospital & Health Sciences System, Chicago, IL.
Clin Nucl Med. 2016 May;41(5):417-8. doi: 10.1097/RLU.0000000000001124.
A 53-year-old man with mediastinal lymph node biopsy and cardiac MRI-proven cardiac sarcoidosis (CS) received treatment with pacemaker and steroids. FDG PET/CT showed active CS despite treatment with prednisone and methotrexate. Addition of weekly adalimumab (Humira) injections was introduced for 3 months. Follow-up FDG PET/CT showed complete resolution of CS as well as improvement of other sarcoid lesions in the thoracic lymph nodes.
一名53岁男性，经纵隔淋巴结活检及心脏磁共振成像证实患有心脏结节病（CS），接受了起搏器和类固醇治疗。尽管使用了泼尼松和甲氨蝶呤，但氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（FDG PET/CT）显示CS仍处于活动期。加用了每周一次的阿达木单抗（修美乐）注射，持续3个月。随访的FDG PET/CT显示CS完全消退，胸部淋巴结的其他结节病病变也有所改善。
