Multisystemic Sarcoidosis With Uncommon Osseous Involvement Demonstrated by Ga-67 Citrate and Tc-99m MDP

Sarcoid bone lesions are uncommon, and involvement is more frequent in the small bones of the hands and feet than in the long bones, vertebrae, or skull. Involvement of the calcaneus is exceedingly rare. The authors report a case of sarcoidosis with calcaneus involvement in addition to long-bone and...

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Bibliographic Details
Published in:Clinical nuclear medicine 2004-01, Vol.29 (1), p.60-62
Main Authors: Ortapamuk, Hulya, Naldoken, Seniha
Format: Article
Language:English
Subjects:
Adult
Bone Diseases - diagnostic imaging
Calcaneus - diagnostic imaging
Citrates
Gallium
Humans
Incidental Findings
Male
Radionuclide Imaging
Radiopharmaceuticals
Sarcoidosis - diagnostic imaging
Technetium Tc 99m Medronate
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Summary:Sarcoid bone lesions are uncommon, and involvement is more frequent in the small bones of the hands and feet than in the long bones, vertebrae, or skull. Involvement of the calcaneus is exceedingly rare. The authors report a case of sarcoidosis with calcaneus involvement in addition to long-bone and disseminated multisystem involvement. Ga-67 scanning demonstrated multiple sites of increased uptake in the left ventricle, bony structures, joints, lymph nodes, subcutaneous tissue of the extremities, salivary glands, and lacrimal glands. Low-dose oral glucocorticoid therapy provided clinical and scintigraphic improvement.
ISSN:0363-9762
1536-0229
DOI:10.1097/01.rlu.0000103037.68164.b6