18F-FDG PET/CT是复发性多软骨炎早期诊断的理想成像方式：一例病例报告。
18F-FDG PET/CT is an ideal imaging modality for the early diagnosis of relapsing polychondritis: A case report.
作者信息
Wang JianJie, Liu XiaoFei, Pu Chaoyu, Chen Yan
机构信息
Department of Nuclear Medicine, General Hospital of Chinese Armed Police Force, Haidian District, Beijing, China.
出版信息
Medicine (Baltimore). 2017 Jul;96(30):e7503. doi: 10.1097/MD.0000000000007503.
BACKGROUND
Relapsing polychondritis (RP) is a rare autoimmune disease of unknown etiology that may affect multiple cartilage throughout the body.
CASE REPORT
We report on a middle-aged man presented with cough, chest tightness, and fever of unknown origin, 18F-fluorodeoxyglucose positron emission tomography/computed tomography (F-FDG PET/CT) was performed. And the imaging shows multiple increased FDG accumulation in tracheobronchial tree and all intercostal cartilages, as well as in nasal, right auricule, laryngeal cartilage. Based on the findings, the diagnosis of RP was made.
CONCLUSION
Our case demonstrates that FDG PET/CT is an useful diagnostic tool to accurately determine the extent of inflammation throughout the body and to guiding the selection of a biopsy site.
背景
复发性多软骨炎（RP）是一种病因不明的罕见自身免疫性疾病，可累及全身多处软骨。
病例报告
我们报告一名中年男性，出现不明原因的咳嗽、胸闷和发热，进行了18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（F-FDG PET/CT）。影像学显示气管支气管树、所有肋软骨以及鼻、右耳廓、喉软骨处有多处FDG摄取增加。基于这些发现，做出了RP的诊断。
结论
我们的病例表明，FDG PET/CT是一种有用的诊断工具，可准确确定全身炎症的范围并指导活检部位的选择。
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