[A case of unusually muscle localization of 99mTc-hydroxy methylene diphosphonate scintigraphy in a patient with acute rhabdomyolysis].
A 85-year-old man was admitted with a history of right upper arm pain following trauma. Laboratory studies included an initial CPK level of 5,385 IU/liter. Other laboratory values were GOT, 114 IU/L; LDH, 701 IU/L; myoglobin, 1,100 ng/ml; aldolase, 13.8 IU/L. The patient was presumed to have have rhabdomyolysis. A 99mTc-hydroxy methylene diphosphonate (99mTc-HMDP) scan revealed an increased uptake in the right shoulder area. 99mTc-HMDP scan is a sensitive indicator of local skeletal muscle injury in rhabdomyolysis.
Sawada
T
T
Third Department of Internal Medicine, Matsushita Memorial Hospital.
Okamuro
S
S
Sakai
R
R
Tsuji
Y
Y
Takahashi
T
T
Kunishige
H
H
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D001132:Arm; D006801:Humans; D008297:Male; D009132:Muscles / Q000293:injuries; D011877:Radionuclide Imaging; D012206:Rhabdomyolysis / Q000000981:diagnostic imaging* / Q000209:etiology; D013669:Technetium Tc 99m Medronate / Q000031:analogs & derivatives*
C024226:technetium Tc 99m hydroxymethylene diphosphonate; D013669:Technetium Tc 99m Medronate