From the Department of Diagnostic Radiology, Tohoku University Hospital, Sendai, Japan.
Clin Nucl Med. 2020 Jul;45(7):e327-e328. doi: 10.1097/RLU.0000000000003060.
We present a case of a 38-year-old woman who complained with cough, fever, and back pain with a weight loss. F-FDG PET/CT to search fever origin revealed uptake in the tracheobronchial and the left auricular cartilage and wall of the thoracic aorta. She underwent biopsy of the left auricle and was diagnosed with relapsing polychondritis (RP) complicating vasculitis. After steroid therapy, FDG PET/CT demonstrated regression of inflammation, showing decreases in the uptakes. Vasculitis should be considered in case of RP with systemic manifestations. Our case demonstrated the utility of FDG PET/CT in evaluation of RP lesions including aortitis.
我们报告一例 38 岁女性,主诉咳嗽、发热、背痛伴体重减轻。为寻找发热原因行 F-FDG PET/CT 检查,示气管支气管及左耳廓软骨和胸主动脉壁摄取增高。行左耳廓活检,诊断为复发性多软骨炎(RP)合并血管炎。予激素治疗后,FDG PET/CT 示炎症消退,摄取减少。当 RP 出现全身表现时,应考虑血管炎。本例显示 FDG PET/CT 有助于评估包括主动脉炎在内的 RP 病变。