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Rare Occurrence of Scapulothoracic and Ischiogluteal Bursitis Signifying Poorly Controlled Rheumatoid Arthritis.

Clin Nucl Med

March 2024

From the Nuclear Medicine Unit, Department of Radiology and Nuclear Medicine, Tuen Mun Hospital, Hong Kong.

Article Synopsis
  • A 74-year-old man with rheumatoid arthritis and lung cancer underwent an 18F-FDG PET/CT scan for monitoring his cancer.
  • The scan revealed high FDG activity in several joints, indicating active rheumatoid arthritis.
  • It also showed unexpected intense uptake in various bursae, suggesting the presence of active bursitis.
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Purpose: A response to conservative treatment is usually obtained in cases of ischiogluteal bursitis. However, the time required to achieve relief of symptoms can vary from days to weeks, and there is a high recurrence rate, thus invasive treatment in addition to conservative treatment can occasionally be effective. Therefore, the aim of this study was to examine surgical excision in cases of refractory ischiogluteal bursitis and to evaluate patients' progression and outcome.

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