Tokuyasu Hirokazu, Watanabe Haruka, Sueda Yuriko, Sakai Hiromitsu, Omura-Tanaka Natsumi, Nakajima Kenichirou, Nakamatsu Satoru, Esumi Chika, Yamasaki Akira
Department of Respiratory Medicine, Matsue Red Cross Hospital, Shimane, Japan.
Department of Otolaryngology, Matsue Red Cross Hospital, Shimane, Japan.
Respir Med Case Rep. 2023 Oct 21;46:101937. doi: 10.1016/j.rmcr.2023.101937. eCollection 2023.
A 70-year-old woman with a hoarse voice and dry cough was referred to our hospital. Positron emission tomography/computed tomography showed abnormal accumulation of fluorine-18 fluorodeoxyglucose (FDG) at the nasal septum, larynx, trachea, bronchus, and costal cartilages. The maximum standard uptake values of FDG accumulation in the nasal septum and costal cartilage were similar. Biopsies of the nasal septum and costal cartilage were performed. The patient was diagnosed with relapsing polychondritis (RP) based on the clinical features and pathological findings. Histopathological examination revealed progressive initial RP findings. The disease progression was different, even with the same FDG accumulation.
一名声音嘶哑、干咳的70岁女性被转诊至我院。正电子发射断层扫描/计算机断层扫描显示，氟-18氟脱氧葡萄糖（FDG）在鼻中隔、喉、气管、支气管和肋软骨处异常聚集。鼻中隔和肋软骨中FDG聚集的最大标准摄取值相似。对鼻中隔和肋软骨进行了活检。根据临床特征和病理结果，该患者被诊断为复发性多软骨炎（RP）。组织病理学检查显示为进展期原发性RP表现。即使FDG聚集情况相同，疾病进展也有所不同。
