title: Decisive diagnosis of seronegative polyarthritis by 3-phase bone scintigraphy.
abstract: Inflammatory joint disease is mainly diagnosed on grounds of clinical investigation, laboratory testing (acute phase reactants), and radiography. Radionuclide imaging has recently been added to the armamentarium of clinician. This case report points out the role of three-phase bone scan and HIG (human immunoglobulin) scan in the discovery of the inflammatory nature of polyarthralgia in a young woman with equivocal clinical and laboratory results. In the aim of diagnosing arthritis early in its course scintigraphy proved to be superior to conventional radiography. It also allows more discriminating selection of subsequent X-ray examination to limit radiation exposure.
authors.affiliation: Department of Nuclear Medicine and L. Boltzmann Institute of Nuclear Medicine, Wilhelminenspital, Vienna, Austria.
authors.forename: S
authors.initials: S
authors.lastname: Mirzaei
authors.forename: E
authors.initials: E
authors.lastname: Wagner
authors.forename: P
authors.initials: P
authors.lastname: Knoll
authors.forename: A
authors.initials: A
authors.lastname: Dunky
authors.forename: H
authors.initials: H
authors.lastname: Köhn
mesh_terms: D000209:Acute-Phase Proteins / Q000032:analysis; D000328:Adult; D001168:Arthritis / Q000097:blood / Q000175:diagnosis / Q000000981:diagnostic imaging*; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D015902:Gamma Cameras; D006801:Humans; D007249:Inflammation; D011859:Radiography; D011877:Radionuclide Imaging; D012039:Regional Blood Flow; D012698:Serologic Tests; D013669:Technetium Tc 99m Medronate
chemical_list: D000209:Acute-Phase Proteins; D013669:Technetium Tc 99m Medronate