Triple-phase bone image abnormalities in Lyme arthritis.
Arthritis is a frequent manifestation of Lyme disease. Limited triple-phase Tc-99m MDP bone imaging of the wrists and hands with delayed whole-body images was performed in a patient with Lyme arthritis. This demonstrated abnormal joint uptake in the wrists and hands in all three phases, with increased activity seen in other affected joints on delayed whole-body images. These findings are nonspecific and have been previously described in a variety of rheumatologic conditions, but not in Lyme disease. Lyme disease should be considered in the differential diagnosis of articular and periarticular bone scan abnormalities.
Brown
S J
SJ
Department of Radiation Oncology and Nuclear Medicine, Hahnemann University Hospital, Philadelphia, Pennsylvania 19102.
Dadparvar
S
S
Slizofski
W J
WJ
Glab
L B
LB
Burger
M
M
D001842:Bone and Bones / Q000000981:diagnostic imaging*; D006225:Hand / Q000000981:diagnostic imaging; D006801:Humans; D008193:Lyme Disease / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate; D014915:Whole-Body Counting; D014953:Wrist / Q000000981:diagnostic imaging
D013669:Technetium Tc 99m Medronate