Impact of bone scintigraphy on the clinical management of a patient with sickle cell anemia and recent chest pain.
The authors present a cases of acute chest syndrome that was originally thought to be due to pneumonia, in which bone imaging obtained 4 weeks later for knee pain showed a secondary finding of multiple rib infarcts that clarified the etiology of the patient's chest manifestations and led to a change in the management of the patient. Bone scintigraphy should be considered in the work-up of patients with sickle cell anemia and concurrent chest symptoms.
Sisayan
R
R
Department of Radiology, Mount Sinai Medical Center, New York, New York 10029, USA.
Elgazzar
A H
AH
Webner
P J
PJ
Religioso
D G
DG
D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications*; D001842:Bone and Bones / Q000000981:diagnostic imaging; D002637:Chest Pain / Q000000981:diagnostic imaging / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging* / Q000209:etiology*; D011014:Pneumonia / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D012272:Ribs / Q000098:blood supply* / Q000000981:diagnostic imaging; D013669:Technetium Tc 99m Medronate
D005710:Gallium Radioisotopes; D013669:Technetium Tc 99m Medronate