title: Triple-phase bone image abnormalities in Lyme arthritis.
abstract: 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.
authors.affiliation: Department of Radiation Oncology and Nuclear Medicine, Hahnemann University Hospital, Philadelphia, Pennsylvania 19102.
authors.forename: S J
authors.initials: SJ
authors.lastname: Brown
authors.forename: S
authors.initials: S
authors.lastname: Dadparvar
authors.forename: W J
authors.initials: WJ
authors.lastname: Slizofski
authors.forename: L B
authors.initials: LB
authors.lastname: Glab
authors.forename: M
authors.initials: M
authors.lastname: Burger
mesh_terms: 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
chemical_list: D013669:Technetium Tc 99m Medronate