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骨扫描上的钙过敏症:分子学与横断面检查结果之间的相关性

Calciphylaxis on bone scan: correlation between molecular and cross-sectional findings.

作者信息

Itani Malak, Matesan Manuela, Behnia Sanaz, Elojeimy Saeed

机构信息

Department of Nuclear Medicine, University of Washington, 1959 N.E. Pacific Street, Seattle, WA 98195, USA.

Department of Radiology, MSC 10-5530, University of New Mexico, 1 University of New Mexico, Albuquerque, NM 87131, USA.

出版信息

Radiol Case Rep. 2016 Dec 24;12(1):175-178. doi: 10.1016/j.radcr.2016.11.027. eCollection 2017 Mar.

DOI:10.1016/j.radcr.2016.11.027
PMID:28228905
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5310540/
Abstract

Calciphylaxis is a rare devastating medical condition commonly associated with end-stage renal disease and characterized by extensive microvascular calcifications. We describe a case of calciphylaxis presenting on Tc-99m MDP bone scan imaging with asymmetric radiotracer uptake within the lower extremities corresponding to extensive soft tissue calcifications on Computed tomography. Familiarity with the classic clinical presentation and imaging features of this rare entity may help its early identification and treatment.

摘要

钙过敏是一种罕见的、严重的医学病症,通常与终末期肾病相关,其特征为广泛的微血管钙化。我们描述了一例在锝-99m亚甲基二膦酸盐(Tc-99m MDP)骨扫描成像中表现出的钙过敏病例,下肢放射性示踪剂摄取不对称,对应于计算机断层扫描显示的广泛软组织钙化。熟悉这种罕见病症的典型临床表现和影像学特征可能有助于其早期识别和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/681c/5310540/f7af9605bbc2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/681c/5310540/583838c8db0b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/681c/5310540/f7af9605bbc2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/681c/5310540/583838c8db0b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/681c/5310540/f7af9605bbc2/gr2.jpg

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本文引用的文献

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Calciphylaxis on Technetium Bone Scan: Two Case Reports.锝骨扫描显示的钙过敏症:两例病例报告。
Radiol Case Rep. 2015 Dec 7;2(2):30-2. doi: 10.2484/rcr.v2i2.77. eCollection 2007.
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The Role of Bone Scintigraphy in the Diagnosis of Calciphylaxis.骨闪烁扫描术在钙过敏症诊断中的作用
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Concomitant calciphylaxis and COVID-19 associated thrombotic retiform purpura.并发钙化防御和 COVID-19 相关血栓性网状青斑。
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Calciphylaxis: a review.钙过敏:综述
J Am Col Certif Wound Spec. 2011 Mar 27;2(4):66-72. doi: 10.1016/j.jcws.2011.03.001. eCollection 2010 Dec.
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Bone scan findings in metastatic calcification from calciphylaxis.钙过敏所致转移性钙化的骨扫描结果。
Clin Nucl Med. 2008 Jul;33(7):502-4. doi: 10.1097/RLU.0b013e31817792e4.