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ID 47086
フルテキストURL
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タイトル(別表記)
FDG-PET/CT is useful in the diagnosis of early phase Takayasu's arteritis : A case report
著者
西井 和也 岡山赤十字病院 総合内科
重松 照伸 岡山赤十字病院 総合内科
藤井 総一郎 岡山赤十字病院 総合内科
宮下 雄博 岡山赤十字病院 総合内科
岡崎 守宏 岡山赤十字病院 総合内科
佐々木 基史 岡山赤十字病院 糖尿病・内分泌内科
早川 信彦 岡山赤十字病院 糖尿病・内分泌内科
抄録
A 60-year-old female patient was admitted to our hospital in April, 2010 because of low-grade fever and malaise for several months. Physical examination on admission revealed no abnormalities except for a body temperature of 37.2℃. Blood examinations showed moderate anemia and a high erythrocyte sedimentation rate. There were no other specific abnormal findings. A systemic CT scan study disclosed diffuse thickening of the artery wall through the ascending, descending and abdominal aorta to the bilateral iliac arteries. In order to evaluate the quality of the vessel lesions, a FDG-PET/CT study was performed and revealed abnormal accumulation of 18F-FDG in the thickened wall, suggesting an inflammatory process in the lesion. Taking all these findings into consideration, we made the diagnosis of Takayasu's arteritis, and treated the patient with prednisolone. The treatment was effective and her symptoms improved. A later CT scan revealed that the artery wall became somewhat thinner. Takayasu's arteritis is a disease whose diagnosis is difficult to make because there are neither specific signs nor diagnostic laboratory findings in its early stage. We found that FDG-PET/CT was helpful in the diagnosis and evaluation of lesions in a patient with Takayasu's arteritis.
キーワード
FDG-PET/CT
大動脈炎症候群 (arteritis syndrome)
Takayasu's arteritis
備考
症例報告 (Case Report)
発行日
2011-12-01
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
123巻
3号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
217
終了ページ
219
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
関連URL
http://www.okayama-u.ac.jp/user/oma/
言語
Japanese
著作権者
Copyright (c) 2011 岡山医学会
論文のバージョン
publisher
査読
有り
DOI
Eprints Journal Name
joma