缓解性血清阴性对称性滑膜炎伴凹陷性水肿：FDG PET/CT 的表现。

Remitting Seronegative Symmetrical Synovitis With Pitting Edema: Appearance on FDG PET/CT.

机构信息

From the *Nuclear Medicine Department of Armed Police General Hospital, Hai Dian District, Beijing; Departments of †Radiology, and ‡Nuclear Medicine, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing, China.

出版信息

Clin Nucl Med. 2017 Jun;42(6):492-495. doi: 10.1097/RLU.0000000000001641.

DOI:10.1097/RLU.0000000000001641

PMID:28319502

Abstract

Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare condition in the elderly and can appear as a first presentation of various types of rheumatic and malignant diseases. We presented a 62-year-old man with the diagnosis of RS3PE based on the clinical sign and laboratory data. Because of the possibility of associated malignancies in RS3PE, FDG PET/CT was performed to exclude occult tumors. The images showed multiple, symmetrically, diffusely increased F-FDG uptake in the soft tissue around joints and bones in the shoulders, hips, knees, and ankles.

摘要

缓解性血清阴性对称性滑膜炎伴凹陷性水肿（RS3PE）是老年人中的一种罕见病症，可作为各种风湿性和恶性疾病的首发表现。我们报告了一例 62 岁男性患者，根据临床症状和实验室数据诊断为 RS3PE。由于 RS3PE 可能与恶性肿瘤相关，因此进行了 FDG PET/CT 检查以排除隐匿性肿瘤。图像显示在肩部、臀部、膝盖和脚踝的关节和骨骼周围的软组织中存在多个对称、弥漫性的 F-FDG 摄取增加。