FDG PET/CT in Eosinophilic Esophagitis

ABSTRACTA 37-year-old man presented with left upper abdominal pain for 13 months. Laboratory examinations showed elevated peripheral eosinophils. Chest CT showed thickened wall of the entire esophagus. FDG PET/CT was performed showing diffuse FDG uptake in the thickened esophageal wall. Esophageal e...

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Bibliographic Details
Published in:Clinical nuclear medicine 2014-06, Vol.39 (6), p.540-543
Main Authors: Dong, Aisheng, Wang, Yang, Zuo, Changjing
Format: Article
Language:English
Subjects:
Adult
Eosinophilic Esophagitis - diagnostic imaging
Eosinophilic Esophagitis - pathology
Fluorodeoxyglucose F18
Humans
Male
Positron-Emission Tomography
Tomography, X-Ray Computed
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Summary:ABSTRACTA 37-year-old man presented with left upper abdominal pain for 13 months. Laboratory examinations showed elevated peripheral eosinophils. Chest CT showed thickened wall of the entire esophagus. FDG PET/CT was performed showing diffuse FDG uptake in the thickened esophageal wall. Esophageal endoscopy showed pale and edematous mucosa. Histologic examination of the esophageal biopsy specimens revealed marked eosinophil infiltration of the mucosa. The clinical and pathologic findings were consistent with eosinophilic esophagitis (EoE). This case indicates EoE should be included in the differential diagnosis of abnormal FDG accumulation in the esophageal wall along with malignant and nonmalignant conditions.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0b013e318286c025