Concomitant Polymyalgia Rheumatica and Large-Vessel Vasculitis Visualized on F-FDG PET/CT.

Diagnostics (Basel)

Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen, Denmark.

Published: April 2018

Polymyalgia rheumatica (PMR) and large-vessel vasculitis (LVV) are related rheumatic diseases which are occasionally present concomitantly. PMR is characterized by synovitis and bursitis. In LVV, inflammation of the blood vessel wall is seen. Both disorders can be difficult to diagnose since patients often present non-specific symptoms and results of blood tests. The non-specific symptoms cannot always be distinguished from symptoms indicating an occult malignancy. We present a case of PMR and LVV in a Scandinavian man visualized on [F]-2-deoxy-D-glucose positron emission tomography/computed tomography (F-FDG PET/CT) with the presentation of typically affected sites of joints and arteries and with the same imaging modality ruling out occult malignancy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023283PMC
http://dx.doi.org/10.3390/diagnostics8020027DOI Listing

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