Gallium-67 scintigraphy in the diagnosis and management of chronic sarcoid myopathy.
The authors describe a patient with chronic sarcoid myopathy. Except for the presence of left posterior synechia, no other organ involvement was observed. Gallium-67 ((67)Ga) scintigraphy showed many intense nodular uptake areas in both the upper and lower extremities. Treatment with oral prednisolone 30 mg/day resulted in a marked improvement on (67)Ga scintigraphy. This case suggests that (67)Ga scintigraphy is useful for the differential diagnosis of systemic myopathies and also for monitoring the effect of glucocorticoid treatment.
Department of Immunobiology and Neuroscience, Medical Institute of Bioregulation, Kyushu University, Tsurumihara 4546, Beppu, Oita 874-0838, Japan.
S
S
Suehiro
S
S
Shiokawa
S
S
Taniguchi
Y
Y
Sakai
H
H
Goda
M
M
Shiratsuchi
T
T
Sugimura
M
M
Hatakenaka
Y
Y
Yoshikawa
S
S
Ikuyama
J
J
Nishimura
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001706:Biopsy; D002908:Chronic Disease; D005260:Female; D005708:Gallium; D006801:Humans; D008279:Magnetic Resonance Imaging; D018482:Muscle, Skeletal / Q000473:pathology*; D009135:Muscular Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D011239:Prednisolone / Q000627:therapeutic use; D011877:Radionuclide Imaging / Q000379:methods*; D019275:Radiopharmaceuticals; D012507:Sarcoidosis / Q000150:complications*
D000893:Anti-Inflammatory Agents; D019275:Radiopharmaceuticals; D011239:Prednisolone; D005708:Gallium