Exertion and exercise increase glucose metabolism within the skeletal muscles causing increased fludeoxyglucose (FDG) uptake on F-FDG positron emission tomography/computed tomography (PET/CT). Here, we present findings of F-FDG PET/CT in a patient with acute viral hepatitis A-induced liver failure with multiple foci of pyoderma and incessant itching resulting in increased FDG uptake in the muscles of the bilateral forearm, producing the "bilateral hot forearm sign."

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135376PMC
http://dx.doi.org/10.4103/ijnm.ijnm_145_23DOI Listing

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