Tags

Type your tag names separated by a space and hit enter

Bone scintigraphy using Tc-99m DPD and F18-FDG in a patient with SAPHO syndrome.
Scand J Rheumatol 2003; 32(1):58-60SJ

Abstract

Synovitis (inflammatory arthritis), acne (pustulosa), palmoplantar pustulosis, hyperostosis and osteitis (bland osteomyelitis) are symptoms forming the acronym SAPHO. We present the case of a 48-year old man with sterno-costo-clavicular hyperostosis and typical pustulosis palmaris. We performed Tc-99m DPD serial bone scanning to monitor the course of disease and to assess therapeutic efficiency. Control bone scans in 2001 showed minor compromises of the ribs and diminished disease activity on collarbones and the sternum after medication with non-steroidal anti-inflammatory drugs (NSAIDs) and bisphosphonates. F-18 FDG PET presented synovial inflammation in the left sterno-clavicular joint but no relevant tracer uptake on clavicles or breastbones. In case of diagnostic doubts F-18 FDG PET could be recommended in order to discriminate bland osteomyelitis from bacterial osteomyelitis or from bone malignancy when SAPHO-syndrome is assumed.

Authors+Show Affiliations

Department of Nuclear Medicine, General Hospital Linz, Linz, Austria. Robert.Pichler@akh.linz.atNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12635949

Citation

Pichler, Robert, et al. "Bone Scintigraphy Using Tc-99m DPD and F18-FDG in a Patient With SAPHO Syndrome." Scandinavian Journal of Rheumatology, vol. 32, no. 1, 2003, pp. 58-60.
Pichler R, Weiglein K, Schmekal B, et al. Bone scintigraphy using Tc-99m DPD and F18-FDG in a patient with SAPHO syndrome. Scand J Rheumatol. 2003;32(1):58-60.
Pichler, R., Weiglein, K., Schmekal, B., Sfetsos, K., & Maschek, W. (2003). Bone scintigraphy using Tc-99m DPD and F18-FDG in a patient with SAPHO syndrome. Scandinavian Journal of Rheumatology, 32(1), pp. 58-60.
Pichler R, et al. Bone Scintigraphy Using Tc-99m DPD and F18-FDG in a Patient With SAPHO Syndrome. Scand J Rheumatol. 2003;32(1):58-60. PubMed PMID: 12635949.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bone scintigraphy using Tc-99m DPD and F18-FDG in a patient with SAPHO syndrome. AU - Pichler,Robert, AU - Weiglein,Klaus, AU - Schmekal,Barnhard, AU - Sfetsos,Konstantinos, AU - Maschek,Wilhelmine, PY - 2003/3/15/pubmed PY - 2003/3/26/medline PY - 2003/3/15/entrez SP - 58 EP - 60 JF - Scandinavian journal of rheumatology JO - Scand. J. Rheumatol. VL - 32 IS - 1 N2 - Synovitis (inflammatory arthritis), acne (pustulosa), palmoplantar pustulosis, hyperostosis and osteitis (bland osteomyelitis) are symptoms forming the acronym SAPHO. We present the case of a 48-year old man with sterno-costo-clavicular hyperostosis and typical pustulosis palmaris. We performed Tc-99m DPD serial bone scanning to monitor the course of disease and to assess therapeutic efficiency. Control bone scans in 2001 showed minor compromises of the ribs and diminished disease activity on collarbones and the sternum after medication with non-steroidal anti-inflammatory drugs (NSAIDs) and bisphosphonates. F-18 FDG PET presented synovial inflammation in the left sterno-clavicular joint but no relevant tracer uptake on clavicles or breastbones. In case of diagnostic doubts F-18 FDG PET could be recommended in order to discriminate bland osteomyelitis from bacterial osteomyelitis or from bone malignancy when SAPHO-syndrome is assumed. SN - 0300-9742 UR - https://www.unboundmedicine.com/medline/citation/12635949/Bone_scintigraphy_using_Tc_99m_DPD_and_F18_FDG_in_a_patient_with_SAPHO_syndrome_ L2 - http://www.tandfonline.com/doi/full/10.1080/03009740310000436 DB - PRIME DP - Unbound Medicine ER -