Lopez-Francos, Elena and Place, Sammy and Delplace, Daphnee and Vandergheynst, Frédéric (2019) An Atypical Case of Vasculitis: When ‘Occult’ 18FDG-PET Scan Findings Create a Classification Dilemma. European Journal of Case Reports in Internal Medicine, 7 (1). ISSN 2284-2594
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Abstract
We describe a 66-year old patient with a recurrent ulcer on her right ankle. Biopsy revealed medium-vessel vasculitis consistent with cutaneous polyarteritis nodosa. There were no signs or symptoms suggestive of systemic vasculitis, but a 18FDG-PET scan showed areas of increased uptake around the large arteries and the pelvic and shoulder girdles. These findings suggested polymyalgia rheumatica in the setting of large-vessel vasculitis. This case thus supports the statement from the Chapel-Hill consensus conference that classification of systemic vasculitis by vessel size is based on the vessels predominantly involved, but vessels of other sizes may also be affected.
| Item Type: | Article |
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| Uncontrolled Keywords: | Polyarteritis nodosa, polymyalgia rheumatica, giant cell arteritis (GCA), PET scan |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 19 Nov 2020 09:50 |
| Last Modified: | 19 Nov 2020 09:50 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/19772 |
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